Individual
MR. LOVELL CALEB PRATCHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119-5200
(901) 765-1000
Mailing address
2490 HANWOOD AVE, MEMPHIS, TN 38108-1642
(901) 619-5793
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
TN
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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