Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TICCO DARRELL PRUITT SR.
Active Sole ProprietorBus · MEMPHIS, TN
Registration Details
- NPI Number
- 1982973947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2011 (14.344076219197 yrs)
- Last Updated
- Dec 21, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
3030 COVINGTON PIKESUITE 180MEMPHIS, TN, 381285048Browse TN providers · Browse ZIP 38128
- Phone
- 9018702670
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in MEMPHIS, TN
| Name | Credential | NPI |
|---|---|---|
| BRYON EMIL BONNER | — | 1407002322 |
| MISS ORIT T AHMED | — | 1770717720 |
| MR. JAMES ALVIN MABON JR. | — | 1831400142 |
| PHYLANTYNIESE LASHUNDA STONE | — | 1891060570 |
| MISS KATHY CURRY | — | 1144576570 |
| MR. RUAL CLAY CALDWELL JR. | — | 1578817664 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.