Individual
TERRI MELVIN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1364 CLIFTON ROAD NE, ATLANTA, GA 30322
(404) 778-5975
(404) 778-2630
Mailing address
531 ASBURY CIRCLE-ANNEX, SUITE N340, ATLANTA, GA 30322
(404) 778-5975
(404) 778-2630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
054303
GA
207P00000X
Emergency Medicine Physician
54303
GA
Other
Enumeration date
07/27/2006
Last updated
01/07/2008
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