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1073174579
KELLEY PRUITT
ATLANTA, GA
NPI
1073174579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA 188495)
Enumeration Date
2019-06-25
Last Update Date
2020-09-09
Business Address
KELLEY PRUITT
2001 PEACHTREE RD NE STE 575
ATLANTA, GA 30309-1476
Phone number: 404-350-0106
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Mailing Address
KELLEY PRUITT
781 COURTENAY DR NE
ATLANTA, GA 30306-3458
Phone number:
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