Individual
GAYLA PRUITTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 E RACE AVE, SEARCY, AR 72143-4417
(501) 268-3400
Mailing address
3127 SOUTHWEST DR, JONESBORO, AR 72404-8404
(870) 336-8100
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
905099935
AR
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
05/05/2025
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