Individual
MRS. AMANDA MARIE SPROUT PRATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 332-6447
Mailing address
459 BOB WHITE DRIVE, MIDLAND, GA 31820
(706) 332-6447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN162398
GA
Other
Enumeration date
10/20/2009
Last updated
12/30/2014
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