Individual
JOHN WAYNE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 ALCORN DR, SUITE 230, CORINTH, MS 38834-9321
(662) 287-5218
(662) 286-3186
Mailing address
611 ALCORN DR, SUITE 230, CORINTH, MS 38834-9321
(662) 287-5218
(662) 286-3186
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
08877
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017652
—
MS
Enumeration date
07/26/2006
Last updated
07/11/2012
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