Christopher M Pruitt
MD | Pediatric Emergency Medicine | Male
Christopher M Pruitt, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Christopher M Pruitt is
171 Ashley Ave, Charleston, South Carolina - 29425-1711. He can be contacted on phone at
843-792-1414.
Christopher M Pruitt is a sole proprietor of his business.
NPI number (Unique professional ID) for Christopher M Pruitt is
1942399217 which was assigned by NPPES on 12 Oct, 2006 and it was last updated on 01 Jul, 2019.
Christopher M Pruitt license number is
27231 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in South Carolina.
Christopher M Pruitt has special qualifications to manage emergencies in infants and children.
Complete Profile:
Christopher M Pruitt basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Christopher M Pruitt |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Christopher M Pruitt address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 171 Ashley Ave
Charleston, SC, 29425-1711
United States |
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| Phone Number : | 843-792-1414 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942399217 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Oct, 2006 |
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| Last Updated On : | 01 Jul, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christopher M Pruitt are as mentioned. Primary taxonomy code for Christopher M Pruitt, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | MD.28073 | AL |
| 208000000X | Pediatrics | No | 27231 | SC |
| 208000000X | Pediatrics | No | MD.28073 | AL |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 27231 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Christopher M Pruitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 515-44055 | Other | AL | BCBS |
| 009941851 | MEDICAID | AL | |
| 515-40540 | Other | AL | BCBS |
| 101785 | MEDICAID | AL | |
| 9287054 | Other | AL | AETNA |
| 1942399217 | Other | AL | TRICARE SOUTH |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 751461
Charlotte, NC, 28275-1461
United States |
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| Phone Number : | 843-792-6200 |
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Business Location:
Patients can refer following map for directions to
Christopher M Pruitt practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.