ALFREDIA PRUITT NPI 1356658322

NPI Information

  • NPI: 1356658322
  • Provider Name: ALFREDIA PRUITT
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Individual
  • Address: 4499 BEACON HILL DR SW
    LILBURN, GA
    ZIP 30047
  • Phone: (770) 668-3915

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NPI Details

Alfredia Pruitt is a customized equipment durable medical equipment medical supplies in Lilburn, GA. Alfredia Pruitt NPI is 1356658322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4499 BEACON HILL DR SW
LILBURN, GA
ZIP 30047-913
Phone: (770) 668-3915

The enumeration date for this NPI number is 9/10/2010 and was last updated on 2/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes
2332BD1200XDurable Medical Equipment & Medical SuppliesDialysis Equipment & SuppliesNo
3374U00000XHome Health AideNo
4376J00000XHomemakerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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