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NPI Profile for ALEXIS PRUETT in BROOKHAVEN, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1073484150 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/13/2025 | |
| Last updated | 09/13/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALEXIS PRUETT
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ALEXIS PRUETT