Individual
EUSTACIA L PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD, IPC HOSPITALIST, JOHNSON CITY, TN 37604-6035
(423) 282-1480
(423) 928-1353
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD32135
TN
208M00000X
Hospitalist Physician
32135
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3849642
—
TN
Enumeration date
05/11/2006
Last updated
09/10/2025
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