; NPI #1356658322

Contact Information

ALFREDIA PRUITT

4499 BEACON HILL DR SW
LILBURN, GA 30047-8913

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

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NPI Profile & details for

NPI #	`1356658322`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	09/10/2010
Last updated	02/08/2017 - About 9 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Customized Equipment

Dialysis Equipment & Supplies

Home Health Aide

Homemaker

NPI Profile & details for

Reviews for ALFREDIA PRUITT