Individual
DANA LYNN PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
386 WINDSOR FARMS DR, LAWRENCEVILLE, GA 30045-6068
(678) 442-0095
Mailing address
386 WINDSOR FARMS DR, LAWRENCEVILLE, GA 30045-6068
(678) 442-0095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA002095
GA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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