Individual
GINNA KATHLEEN PRUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
Mailing address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.1673
AL
363AS0400X
Surgical Physician Assistant
Primary
PA.1673
AL
Other
Enumeration date
12/14/2020
Last updated
10/19/2023
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