# PRATT FAMILY MEDICAL CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pratt Family Medical Clinic, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952323073
- **Authorized official:** ANITA S. PRATT (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (662) 286-0088

## Contact information

- **Practice address:** 121 PRATT DRIVE, SUITE 1 A, CORINTH, MS 38834
- **Practice address phone:** (662) 286-0088
- **Practice address fax:** (662) 286-0067
- **Mailing address:** 121 PRATT DRIVE, SUITE 1 A, CORINTH, MS 38834
- **Mailing address phone:** (662) 286-0088
- **Mailing address fax:** (662) 286-0067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 18218 | MS | — |
| 207Q00000X | Family Medicine Physician | 11767 | MS | Yes |
| 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