Connie Pruitt

NPI 1508012055 · on the registry since 2008

Practice

Address: 1415 College Dr
Meridian, MS 39307
Phone: (601) 483-4821
Organisation at this address: Region Ten State Of Ms
Region Ten State Of Ms
Region Ten Commission State Of Ms
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 137

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-08-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi