MICHAEL FREDERIC PRUITT

AUGUSTA, GA
NPI1366776866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  1932)
Enumeration Date2009-09-30
Last Update Date2009-09-30
Business Address
Mr. MICHAEL FREDERIC PRUITT PA-C
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909-1867
Phone number: 706-863-9797
Mailing Address
Mr. MICHAEL FREDERIC PRUITT PA-C
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909-1867
Phone number: 706-836-9797
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