Individual
MS. RUTHIE A PUMPHREY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2986 APPOMATTOX WAY, DECATUR, GA 30034-2708
(404) 243-3321
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R027796
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R027796
RN LICENSE
GA
Enumeration date
06/18/2006
Last updated
07/08/2007
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