Individual provider · Type 1 NPI

Michael Frederic Pruitt, PA-C

Surgical Physician Assistant · Augusta, GA

NPI number 1366776866 Active

Practice location

3650 J Dewey Gray Cir
Augusta, GA 30909-1867

Fax (706) 860-7686

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1932 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1366776866

Michael Frederic Pruitt, PA-C's National Provider Identifier is 1366776866, issued on Sep 30, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Sep 30, 2009.