DR. LAURA GRAY PRUITT (NPI# 1457732059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457732059 |
| Entity Type | Individual |
| Full Name | DR. LAURA GRAY PRUITT |
| Credential | M.D. |
| Practice Address |
109 Bee St Charleston SC 29401-5703 |
| Mailing Address |
135 Rutledge Ave Fl 11 Charleston SC 29425-8903 |
| Practice Telephone | 8435775011 |
| Mailing Telephone | 8438765074 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 52811 | SC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 Rutledge Ave Fl 11, Charleston, SC 294258903 | 8438765074 | |
| Mail Stop 628, Internal Medicine-dermatology, Brody School of Medicine, 3e-117, Greenville, NC 278344300 | 2527443109 | 2527442096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740304492 | Laura Pruitt | Occupational Therapist | 2470 College Ave., Conway, AR 72034 | 2007-03-19 |
| 1083640874 | Laura Lea Pruitt | Specialist/Technologist | 1718 Brook Ridge Circle Dr, Lawrenceburg, IN 47025-9359 | 2006-06-23 |
| 1144720731 | Laura Pruitt | Case Manager/Care Coordinator | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2018-02-20 |
| 1194169953 | Laura Nicole Pruitt | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-04-24 |
| 1609112747 | Laura Catherine Pruitt | Psychologist | 3833 S Texas Ave, Suite 217, Bryan, TX 77802-4039 | 2012-12-18 |
| Street Address |
109 BEE ST |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29401-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485957 | Amy Marie Perry | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2005-05-23 |
| 1114525102 | Freddie Lee Bellamy | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-10-13 |
| 1467068726 | Jonathan Mansfield | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2020-09-21 |
| 1427661255 | Amy James | Registered Nurse | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-31 |
| 1528670304 | Heather Holden | Clinical Neuropsychologist | 109 Bee St, Charleston, SC 29401-5703 | 2020-08-21 |
| 1487279212 | Marlee Silversmith | Student in an Organized Health Care Education/Training Program | 109 Bee St, Charleston, SC 29401-5703 | 2020-06-08 |
| 1881218576 | Tonisha D Cabbagestalk | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-29 |
| 1063034825 | Michael Morris | Social Worker | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-14 |
| 1346862729 | Betsy Jean Kroger | Counselor | 109 Bee St, Charleston, SC 29401-5703 | 2020-05-08 |
| 1477173425 | Amy M Millett | Nurse Practitioner | 109 Bee St, Charleston, SC 29401-5703 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162873 | Jonathan Hayes | Registered Nurse | 109 Bee St. Ralph H. Johnson Vamc, Charleston, SC 29401 | 2017-09-05 |
| 1659724904 | M & M Lineberger Dds Ms Pa | Dentist | 347 N. Caswell, Charlotte, NC 29401 | 2016-07-21 |
| 1619375185 | Zach Adams | Specialist/Technologist | 301 Meeting Street, Charleston, SC 29401 | 2014-12-15 |
| 1528469723 | Linda Graber | Occupational Therapist | 75 Calhoun Street, Charleston County Schools, Charleston, SC 29401 | 2014-09-08 |
| 1427497858 | Erika Lynn Wilson | Mechanotherapist | 310 King Street, Charleston, SC 29401 | 2013-06-19 |
| 1730525460 | Mary Beth Hill | Psychologist | 75 Cahoun Street, Charleston, SC 29401 | 2013-05-21 |
| 1699019810 | Chs Psychiatric Associates LLC | Psychiatric Hospital | 255 King Street #8, Charleston, SC 29401 | 2012-11-15 |
| 1255681581 | Parul Olivia Earley | Pharmacist | 59 George St., Charleston, SC 29401 | 2012-09-13 |
| 1669760815 | Dana Leigh Chiulli | Pharmacist | 109 Bee Street (119), Charleston, SC 29401 | 2011-07-20 |
| 1295028959 | Kathleen Anne Waters | Nurse Practitioner | Charleston Center, 5 Charleston Center Drive, Charleston, SC 29401 | 2011-05-26 |
| Find all providers in zip 29401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700272978 | Leah Swanson | Dermatology | 135 Rutledge Ave # Msc578, Charleston, SC 29425-8903 | 2015-04-14 |
| 1770996621 | David Mark Perry | Dermatology | 48 Folly Road Blvd, Charleston, SC 29407-7507 | 2014-06-09 |
| 1891106811 | Sarah M. Derrington | Dermatology | 9217 University Blvd., Ste C1b, Charleston, SC 29406 | 2014-05-13 |
| 1649619404 | Richard Pierce | Dermatology | 776 Daniel Ellis Dr Ste 1a, Charleston, SC 29412-3095 | 2013-06-14 |
| 1528096831 | Brian Curtis Leach | Dermatology | 135 Rutledge Avenue, Dept of Dermatology & Dermatologic Surgery, Charleston, SC 29425 | 2006-06-28 |
| 1588629166 | Stephen Kirby Milroy | Dermatology | 3100 Mccorkle Ave Se, Ste 809, Charleston, WV 25304-1223 | 2006-04-18 |
| 1255393484 | James G Simpson | Dermatology | 48 Folly Road, Charleston, SC 29407 | 2006-04-04 |
| 1396713780 | Jeffrey K Mckenna | Dermatology | 100 Deerpath, Charleston, IL 61920-9427 | 2006-03-10 |
| 1689648123 | Erin Alyson Walker | Dermatology | 1364 Ashley River Rd, Charleston, SC 29407-5347 | 2006-02-13 |
| 1003893868 | Hudson C Rogers | Dermatology | 9295 Medical Plaza Dr, Suite B, Charleston, SC 29406-9137 | 2005-12-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.