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Contact Information

ALFREDIA PRUITT
4499 BEACON HILL DR SW
LILBURN, GA30047-8913
 Phone: 770-668-3915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
 

Home Health Aide

374U00000X
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for ALFREDIA PRUITT · (Female)

NPI # 1356658322
Status Active
Credentials
Entity Individual
Enumeration date 09/10/2010
Last updated 02/08/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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