Individual
RACHEL CLICK PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10701 ANDERSON RD, EASLEY, SC 29642-9309
(864) 295-2500
(864) 295-2506
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 859-2220
(864) 859-5744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36609
SC
207Q00000X
Family Medicine Physician
TL36609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366099
—
SC
Enumeration date
10/10/2011
Last updated
10/16/2017
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