Individual
DR. JOEL JOSEPH PRANCKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 TOWNE LAKE PKWY STE 320, WOODSTOCK, GA 30189-1604
(770) 517-6636
(770) 517-6568
Mailing address
7200 CAMBRIDGE ST STE 10A, HOUSTON, TX 77030-4202
(713) 986-7396
(713) 986-7391
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
83629
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2013
Last updated
03/08/2021
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