TIFFANY LYNNETTE PRUITT

ATLANTA, GA
NPI1861980666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  RN219329)
Enumeration Date2018-04-26
Last Update Date2018-04-26
Business Address
TIFFANY LYNNETTE PRUITT
250 GEORGIA AVE SE STE 206
ATLANTA, GA 30312-3000
Phone number: 404-653-0374
Mailing Address
TIFFANY LYNNETTE PRUITT
4032 PINE MANOR DR
DOUGLASVILLE, GA 30134-2923
Phone number:
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