Individual
JACK M PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 SEABISCUIT DR, RAEFORD, NC 28376-5969
(910) 373-8729
Mailing address
240 SEABISCUIT DR, RAEFORD, NC 28376-5969
(910) 373-8729
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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