Individual
DR. TANYA SUZANNE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 3RD ST, GREENSBORO, NC 27405-6967
(336) 890-3200
(336) 890-3290
Mailing address
930 3RD ST, GREENSBORO, NC 27405-6967
(336) 890-3200
(336) 890-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200300868
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
200300868
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134R8
BCBS NC
NC
01
—
3301
PARTNERS MEDICARE CHOICE
NC
01
—
7490
PARTNERS MEDICARE CHOICE
NC
01
—
7519483
AETNA
NC
05
—
89134R8
—
NC
01
—
C7390
MEDCOST
NC
01
—
D0470
MEDCOST
NC
Enumeration date
06/03/2006
Last updated
08/19/2021
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