Individual
LANDON PATRICK PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9430 PARK WEST BLVD STE 130, KNOXVILLE, TN 37923-4205
(865) 690-4861
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4343
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14190567
CAQH
SC
Enumeration date
02/12/2018
Last updated
09/12/2025
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