| NPI Details | |
|---|---|
| NPI | 1083661516 |
| Enumeration Date | 05/29/2006 |
| Last Updated | 07/02/2014 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | NEIL L NEIL |
| Position | CHAIRMAN AND CEO OF MANAGER |
| Phone | (748) 933-5395 |
| Fax | |
| Practice Location | |
|---|---|
| 210 MAIN ST TOOMSBORO GA, 31090-2003, US |
|
| Phone | (748) 933-5395 |
| Fax | |
| Business Location | |
|---|---|
| 1626 JEURGENS CT NORCROSS GA, 30093-2219, US |
|
| Phone | (770) 279-6200 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 314000000X |
| License State | Georgia |
| License Number | 1-158-1287 |
| Remove 1083661516 NPI Number | |
According to our database, Pruitthealth - Toomsboro, Llc NPI is 1083661516, taxonomy code is 314000000X and license number is 1-158-1287, license state is located at Georgia. Pruitthealth - Toomsboro, Llc physically located at 210 Main St, Toomsboro GA, 31090-2003. NPI Number 1033115704 has the healthcare provider type.
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1083661516 NPI number is provided on an as is basis without warranty of any kind. 1083661516 is maintained by the National Plan & Provider Enumeration System. The contents of Pruitthealth - Toomsboro, Llc are for informational purposes only.
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