CHARLES LEWIS HUMPHREY PRUETT

ATLANTA, GA
NPI1194395210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-30
Last Update Date2025-04-15
Business Address
CHARLES LEWIS HUMPHREY PRUETT
1364 CLIFTON RD NE
ATLANTA, GA 30322-1020
Phone number: 404-251-8778
Mailing Address
CHARLES LEWIS HUMPHREY PRUETT
1364 CLIFTON RD NE
ATLANTA, GA 30322-1020
Phone number:
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