MR. TICCO PRUITT SR.

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1982973947

Practice Address

3030 COVINGTON PIKE
SUITE 180
Memphis, TN 38128

Phone: (901) 870-2670

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes -

Frequently Asked Questions

NPI 1982973947 is the National Provider Identifier for MR. TICCO PRUITT SR., a Non-emergency Medical Transport (VAN) provider located in Memphis, TN. This NPI was enumerated on December 21, 2011.
MR. TICCO PRUITT SR. practices at 3030 COVINGTON PIKE, SUITE 180, Memphis, TN 38128.

Quick Facts

NPI
1982973947
Type
Individual
Enumerated
Dec 21, 2011
Last Updated
Dec 21, 2011

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