Individual
WYATT PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3100 PERIMETER PKWY, AUGUSTA, GA 30909-4583
(706) 651-0005
Mailing address
112 LECOMPTE AVE, NORTH AUGUSTA, SC 29841-3032
(804) 873-0353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
275174
SC
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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