MADELINE PRUITT

ATLANTA, GA
NPI1245957224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-10-20
Last Update Date2022-10-20
Business Address
MADELINE PRUITT
1488 BROOK VALLEY LN NE
ATLANTA, GA 30324-3264
Phone number: 812-629-6321
Mailing Address
MADELINE PRUITT
1488 BROOK VALLEY LN NE
ATLANTA, GA 30324-3264
Phone number: 812-629-6321