Individual
NATALIE PRUITT GREENWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1280 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 532-5337
(770) 532-5341
Mailing address
1280 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 532-5337
(770) 532-5341
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN074238
GA
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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