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1073240206
TERI PRUITT
ACWORTH, GA
NPI
1073240206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN160031)
Enumeration Date
2022-08-08
Last Update Date
2022-10-05
Business Address
TERI PRUITT NP
4900 IVEY RD NW STE 1320
ACWORTH, GA 30101-4112
Phone number: 470-267-0870
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Mailing Address
TERI PRUITT NP
58 E RANCHETTE RD
TEMPLE, GA 30179-3228
Phone number: 770-597-6600
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