Individual
JOHN M PRATT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2690 LAKE PARK DR, NORTH CHARLESTON, SC 29406-9100
(843) 764-0992
Mailing address
5039 BARRIER ISLAND CT, MT PLEASANT, SC 29466-6933
(843) 881-0403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7171
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071718
—
SC
Enumeration date
05/05/2006
Last updated
07/08/2007
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