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1992886667
RUSSELL FRANKLIN PRUITT
ACWORTH, GA
NPI
1992886667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 041931)
Additional Taxonomies
174400000X Specialist
(Licence: GA 041931)
Enumeration Date
2006-10-18
Last Update Date
2016-03-30
Business Address
-- RUSSELL FRANKLIN PRUITT M.D.
4900 IVEY RD NW BLDG 1000 SUITE 1025
ACWORTH, GA 30101-4001
Phone number: 770-917-9557
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Mailing Address
-- RUSSELL FRANKLIN PRUITT M.D.
4900 IVEY RD NW BLDG 1000 SUITE 1025
ACWORTH, GA 30101-4001
Phone number: 770-917-9557
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