IndividualActive
Alfredia Pruitt
NPI 1356658322 · Customized Equipment (DME) · Lilburn, GA
Provider details
- NPI number
- 1356658322
- Entity type
- Individual
- Primary specialty
- Customized Equipment (DME)Suppliers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
- Homemaker376J00000X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Dialysis Equipment & Supplies (DME)332BD1200X
Suppliers
Practice location
4499 Beacon Hill Dr Sw
Lilburn, GA 30047-8913
Phone: (770) 668-3915
Approximate (ZIP-level) locationGet directions
Mailing address
4499 Beacon Hill Dr Sw
Lilburn, GA 30047-8913
Registry dates
- Enumerated
- 2010-09-10
- Last updated
- 2017-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.