Individual
ALBERT DEPRATT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 341-5582
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 341-5582
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
251B00000X
Case Management Agency
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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