Individual
BRIAN EUGENE PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
458 N MAIN ST, CLAYTON, GA 30525-4254
(706) 960-9550
(706) 960-9551
Mailing address
458 N MAIN ST, CLAYTON, GA 30525-4254
(706) 960-9550
(706) 960-9551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0078359
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003219235A
—
GA
Enumeration date
07/15/2011
Last updated
10/27/2024
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