Individual
DR. MATTHEW RYAN PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 381-1111
Mailing address
6300 TOWER CIR APT 326, FRANKLIN, TN 37067-1531
(629) 333-8130
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD0000054482
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-2594
TEMPORARY STATE MEDICAL LICENSE
MS
Enumeration date
06/29/2012
Last updated
08/04/2021
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