Search › Mississippi › 363L00000X
Timothy Pruitt, DNP
NPI 1295738706 · on the registry since 2005
Practice
- Address
- 7601 Southcrest Pkwy
Southaven, MS 38671 - Phone
- (662) 772-4200
- Organisation at this address
- West Clinic, Pc
Cunningham Physical Medicine
Baptist Memorial Hospital Desoto
Baptist Memorial Hospital- Desoto
Greenbrook Physician Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 155
Additional practice sites
- Twin County Regional Healthcare, Galax, VA
- 7601 Southcrest Pkwy, Southaven, MS
- 6225 Humphreys Blvd, Memphis, TN
- 2100 N 7th St, West Memphis, AR
- 1500 W Poplar Ave, Collierville, TN
- 2122 Manchester Expy, Columbus, GA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363L00000X
363L00000X
363LA2100X
363LA2100X
363LA2100X
363LA2100X
363LF0000X - Licence states on file
- GA, AR, TN, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-29
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