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Individual

DR. DAVID KEITH PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
11943 CUMMING HWY, CANTON, GA 30115-8129
(770) 887-7618
(770) 887-5961
Mailing address
11943 CUMMING HWY, CANTON, GA 30115-8129
(770) 887-7618
(770) 887-5961

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR001950
GA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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