Individual provider · Type 1 NPI
Alfredia Pruitt
Customized Equipment (DME) · Lilburn, GA
NPI number
1356658322
Active
Practice location
4499 Beacon Hill Dr SW
Lilburn, GA 30047-8913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Homemaker | 376J00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
| Dialysis Equipment & Supplies (DME) | 332BD1200X | None listed |
Customized Equipment (DME): Definition to come...
About NPI 1356658322
Alfredia Pruitt's National Provider Identifier is 1356658322, issued on Sep 10, 2010. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Lilburn, GA. The record was last updated on Feb 8, 2017.