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Individual
DR. CHRISTOPHER D PRATER
Active
Individual
DR. CHRISTOPHER D PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
TN8547
TN
101YM0800X
Mental Health Counselor
TN8547
TN
103TM1800X
Intellectual & Developmental Disabilities Psychologist
TN8547
TN
207Q00000X
Family Medicine Physician
Primary
TN8547
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I084762
MEDICARE PTAN
TN
01
—
3370066
MEDICARE GROUP
TN
01
—
4256026
BCBS PIN
TN
Enumeration date
08/11/2005
Last updated
10/19/2010
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