Individual
DR. MELODY LYNN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
46 FAIRVIEW AVE STE 111, SKOWHEGAN, ME 04976-1481
(207) 474-0905
(207) 474-6930
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1887
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
1887
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407820871
—
ME
Enumeration date
02/14/2006
Last updated
06/28/2022
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