ELIZABETH FAYE PRUITT-WISE

DECATUR, GA
NPI1770107385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: GA  2093)
Enumeration Date2020-05-31
Last Update Date2020-05-31
Business Address
ELIZABETH FAYE PRUITT-WISE RD
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
ELIZABETH FAYE PRUITT-WISE RD
1670 CLAIMONT RD
DECATUR, GA 30033
Phone number: 901-592-9880
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