NPI Details | |
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NPI | 1083661516 |
Enumeration Date | 05/29/2006 |
Last Updated | 07/02/2014 |
Entity Type | Healthcare Provider |
Active | Over 11 years ago |
Authorized Information | |
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Name | NEIL L NEIL |
Position | CHAIRMAN AND CEO OF MANAGER |
Phone | (748) 933-5395 |
Fax |
Practice Location | |
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210 MAIN ST TOOMSBORO GA, 31090-2003, US |
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Phone | (748) 933-5395 |
Fax |
Business Location | |
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1626 JEURGENS CT NORCROSS GA, 30093-2219, US |
|
Phone | (770) 279-6200 |
Fax |
Toxanomy | |
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Taxonomy Code | 314000000X |
License State | Georgia |
License Number | 1-158-1287 |
Remove 1083661516 NPI Number |
According to our database, Pruitthealth - Toomsboro, Llc NPI is 1083661516, taxonomy code is 314000000X and license number is 1-158-1287, license state is located at Georgia. Pruitthealth - Toomsboro, Llc physically located at 210 Main St, Toomsboro GA, 31090-2003. NPI Number 1033115704 has the healthcare provider type.
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1083661516 NPI number is provided on an as is basis without warranty of any kind. 1083661516 is maintained by the National Plan & Provider Enumeration System. The contents of Pruitthealth - Toomsboro, Llc are for informational purposes only.
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