Individual
DR. EMMITT M PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2501 TOBACCO RD, HEPHZIBAH, GA 30815-7091
(706) 790-1118
Mailing address
3900 TROUPE SMITH RD SE, CONYERS, GA 30094-3648
(770) 602-2837
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH018024
GA
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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