NPI | 1497702096 |
---|---|
Other Name | MELISSA D PRUITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR e-14973) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-14973) |
207Q00000X Family Medicine (Licence: AR E14973) | |
207Q00000X Family Medicine (Licence: AR E14972) | |
Enumeration Date | 2006-05-28 |
Last Update Date | 2024-06-12 |