Individual
KIMBERLY PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(404) 605-2800
Mailing address
745 POPLAR RD, NEWNAN, GA 30265-1618
(404) 605-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN185543
GA
Other
Enumeration date
09/26/2014
Last updated
03/07/2017
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