Individual
MRS. CECELIA CANNON PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
86 COLE PT, HOSCHTON, GA 30548-4341
(706) 658-0124
Mailing address
86 COLE PT, HOSCHTON, GA 30548-4341
(706) 658-0124
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16443
GA
Other
Enumeration date
11/18/2007
Last updated
11/18/2007
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