| Doctor Name: | BARBARA LYNN PRUITT |
| NPI Number: | 1063752012 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-C |
| License Number: | RN151379 |
| Business Practice Address: | 4900 Ivey Rd Nw Bldg 1000 Suite 1025 Acworth, GA - 301014001 |
| Business Phone Number: | 7709179557 |
| Business Fax Number: | 7709179558 |
| Mailing Address: | 4900 Ivey Rd Nw Bldg 1000, Suite 1025 ACWORTH |
| State: | GA |
| Postal Code: | 301014001 |
| Phone Number: | 7709179557 |
| Fax Number: | 7709179558 |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN151379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |