Individual
MISS BRIANNA LEE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2600 HIGHWAY 129 N, CLEVELAND, GA 30528-2710
(706) 244-9790
Mailing address
396 CAWTHON RD, TOCCOA, GA 30577-7276
(706) 244-9790
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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