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1316047871
JERRY N. PRUITT
AUGUSTA, GA
NPI
1316047871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: GA 034691)
Enumeration Date
2006-09-25
Last Update Date
2011-03-31
Business Address
-- JERRY N. PRUITT MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4581
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Mailing Address
-- JERRY N. PRUITT MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2650
Phone number: 706-828-6410
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