Individual
DR. WESLEY F PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-8771
Mailing address
PO BOX 588, CANTON, MS 39046-0588
(601) 859-5213
(601) 859-8771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
08247
MS
207VX0000X
Obstetrics Physician
08247
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016899
—
MS
01
—
C48145
UPIN
MS
Enumeration date
03/31/2006
Last updated
05/20/2021
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