| Anthony Gene Pruitt, MD | |
|
121 Blythewood Rd, Blythewood, SC 29016-8426 | |
| (803) 788-6360 | |
| Not Available |
| Full Name | Anthony Gene Pruitt |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 121 Blythewood Rd, Blythewood, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700884848 | NPI | - | NPPES |
| 061506129008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 93380 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Gene Pruitt, MD 121 Blythewood Rd, Blythewood, SC 29016-8426 Ph: (803) 788-6360 | Anthony Gene Pruitt, MD 121 Blythewood Rd, Blythewood, SC 29016-8426 Ph: (803) 788-6360 |
Kelsey Klostermeyer Mcdill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 121 Blythewood Rd, Blythewood, SC 29016 Phone: 803-788-6360 Fax: 803-462-0312 | |
Kelsey Leigh Snedecor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 121 Blythewood Rd, Blythewood, SC 29016 Phone: 803-788-6360 Fax: 803-788-6668 | |
Kyung Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Columbia Club Dr E, Blythewood, SC 29016 Phone: 803-754-7711 |