Individual
ANGELIC J PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1619 HIGHWAY 19 N, THOMASTON, GA 30286-2277
(678) 432-4755
(678) 432-4753
Mailing address
PO BOX 307, MANCHESTER, GA 31816-0307
(678) 432-4755
(678) 432-4753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR009556
STATE LICENSE
GA
Enumeration date
08/17/2015
Last updated
08/17/2015
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