Organization
JOHN W. PRATHER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA PRATHER (OFFICE MANAGER)
(662) 287-5218
Entity
Organization
Contact information
Practice address
703 ALCORN DR, SUITE 102, CORINTH, MS 38834-9302
(662) 287-5218
(662) 286-3186
Mailing address
P.O. DRAWER 2650, CORINTH, MS 38834
(662) 287-5218
(662) 286-3186
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015111
—
MS
Enumeration date
07/27/2006
Last updated
08/22/2020
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