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 Date2021-06-30
Business Address
CHARLES LEWIS HUMPHREY PRUETT
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322-1020
Phone number: 404-727-5655
Mailing Address
CHARLES LEWIS HUMPHREY PRUETT
100 WOODRUFF CIR NE STE P375
ATLANTA, GA 30322-1020
Phone number: 404-727-5655
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