ROSEANN PRUITT

ATLANTA, GA
NPI1114304284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  9174)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001944)
363A00000X Physician Assistant
Enumeration Date2015-04-28
Last Update Date2019-03-10
Business Address
ROSEANN PRUITT PA-C, ATC
1762 CLIFTON RD NE STE 1650
ATLANTA, GA 30322-4001
Phone number: 978-618-7329
Mailing Address
ROSEANN PRUITT PA-C, ATC
169 REDTAIL RD
JEFFERSON, GA 30549-7070
Phone number: 978-618-7329