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Charles Pruitt
NPI 1437398799 · on the registry since 2009 · sole proprietor
Practice
- Address
- 6191 Crooked Creek Dr
Rex, GA 30273 - Phone
- (404) 414-3664
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 103TP2701X
104100000X
1041C0700X
106H00000X
106S00000X
101YA0400X
101YM0800X
101YP2500X
103K00000X
103TM1800X
103TA0400X
103TP0016X
103TA0700X
103TB0200X - Sex
- Male
- Record last updated
- 2024-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia