person
Amanda Kinney Pruitt, DO
Family Medicine Physician in Spartanburg, South Carolina
NPI 1033505524

Amanda Kinney Pruitt is a Family Medicine Physician based in Spartanburg, SC. Amanda Kinney Pruitt practices in Spartanburg, SC and has the professional credentials of DO. The NPI Number for Amanda Kinney Pruitt is 1033505524 and holds a License No. (South Carolina).

The current practice location address for Amanda Kinney Pruitt is 200 College St, Spartanburg, SC and can be reached out via phone at 864-582-2411 and via fax at 864-594-0040.

Location: 200 College St, Spartanburg, SC, 29304
person
Provider Profile Details
NPI Number
1033505524
Provider Name
Amanda Kinney Pruitt
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
200 College St, Spartanburg, SC, 29304
Phone Number
864-582-2411
Fax Number
864-594-0040
Provider Enumeration Date
04/10/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCF2976067 01 SC MEDICARE PIN
SCF2976121 01 SC MEDICARE PIN
SCD368J577 01 SC MEDICARE PIN
SCF2976084 01 SC MEDICARE PIN
519004 05 SC
SCD3684862 01 SC MEDICARE
institution
Provider Business Practice Location Address Details
Address
200 College St
City
State
Zip
29303
Phone Number
864-582-2411
Fax Number
864-594-0040
person
Provider Business Mailing Address Details
Address
200 College St
City
State
Zip
29303
Phone Number
864-582-2411
Fax Number
864-594-0040
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
51900 (South Carolina)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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