Individual
DR. JOSEPH L PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 PRATT DR, SUITE 1A, CORINTH, MS 38834-6026
(662) 286-0088
(662) 286-0067
Mailing address
121 PRATT DR, SUITE 1A, CORINTH, MS 38834-6026
(662) 286-0088
(662) 286-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11767
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05206512
—
MS
01
—
11767
STATE MEDICAL LICENSE
MS
01
—
P00139098
RAILROAD MEDICARE ID #
MS
Enumeration date
06/27/2005
Last updated
01/17/2014
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