Individual
DR. PAULA PRUITT HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4806 FLAT SHOALS PKWY, DECATUR, GA 30034-5205
(770) 987-3430
(770) 987-7929
Mailing address
4806 FLAT SHOALS PKWY, DECATUR, GA 30034-5205
(770) 987-3430
(770) 987-7929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00885233A
—
GA
Enumeration date
01/22/2007
Last updated
07/08/2007
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