Individual
DR. ALLIE LEE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 OXFORD RD, NEW ALBANY, MS 38652-3117
(662) 534-8166
(662) 534-8132
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10005
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016570
—
MS
Enumeration date
06/02/2006
Last updated
08/19/2020
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