Individual
CYNTHIA DIANE PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3264 LOWER BOSTON RD, THOMASVILLE, GA 31757-1311
(229) 421-2908
Mailing address
3264 LOWER BOSTON RD, THOMASVILLE, GA 31757-1311
(229) 421-2908
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
162651
GA
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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