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Organization
PRATT FAMILY MEDICAL CLINIC, P.A.
Active
Organization
PRATT FAMILY MEDICAL CLINIC, P.A.
Active
Other names
Pratt Family Medical Clinic, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA S. PRATT (CLINIC ADMINISTRATOR)
(662) 286-0088
Entity
Organization
Contact information
Practice address
121 PRATT DRIVE, SUITE 1 A, CORINTH, MS 38834
(662) 286-0088
(662) 286-0067
Mailing address
121 PRATT DRIVE, SUITE 1 A, CORINTH, MS 38834
(662) 286-0088
(662) 286-0067
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
18218
MS
207Q00000X
Family Medicine Physician
Primary
11767
MS
363LF0000X
Family Nurse Practitioner
R582662
MS
363LF0000X
Family Nurse Practitioner
R649279
MS
363LF0000X
Family Nurse Practitioner
R865725
MS
363LF0000X
Family Nurse Practitioner
R865946
MS
Other
Enumeration date
07/25/2006
Last updated
01/23/2015
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