Individual
RACHEL HAYLEY PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-2500
(434) 200-2313
Mailing address
125 NATIONWIDE DR, LYNCHBURG, VA 24502-4272
(434) 200-2500
(434) 200-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003670
VA
Other
Enumeration date
09/16/2011
Last updated
02/03/2021
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