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1124078274
JERRY L PRUITT
HICKORY, NC
NPI
1124078274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NC 17415)
Enumeration Date
2006-05-11
Last Update Date
2020-06-23
Business Address
Dr. JERRY L PRUITT M.D.
245 11TH AVE NE
HICKORY, NC 28601-3835
Phone number: 828-328-3500
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Mailing Address
Dr. JERRY L PRUITT M.D.
1072 X RAY DR
GASTONIA, NC 28054-7488
Phone number: 704-671-1094
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