RUSSELL PRUITT, M.D.

Surgery

Active Individual
NPI: 1992886667

Practice Address

4900 IVEY RD NW BLDG 1000
SUITE 1025
Acworth, GA 30101

Phone: (770) 917-9557

Specialties

Specialty Code Primary License
Specialist 174400000X No 041931 (GA)
Surgery 208600000X Yes 041931 (GA)

Frequently Asked Questions

NPI 1992886667 is the National Provider Identifier for RUSSELL PRUITT, M.D., a Surgery provider located in Acworth, GA. This NPI was enumerated on October 18, 2006.
RUSSELL PRUITT, M.D. practices at 4900 IVEY RD NW BLDG 1000, SUITE 1025, Acworth, GA 30101.

Quick Facts

NPI
1992886667
Type
Individual
Enumerated
Oct 18, 2006
Last Updated
Mar 30, 2016

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