TERA PRUITT

Case Manager/Care Coordinator

Active Individual
NPI: 1073976007

Practice Address

6191 CROOKED CREEK DR
Rex, GA 30273

Phone: (404) 574-3091

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1073976007 is the National Provider Identifier for TERA PRUITT, a Case Manager/Care Coordinator provider located in Rex, GA. This NPI was enumerated on March 29, 2016.
TERA PRUITT practices at 6191 CROOKED CREEK DR, Rex, GA 30273.

Quick Facts

NPI
1073976007
Type
Individual
Enumerated
Mar 29, 2016
Last Updated
Mar 29, 2016

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