Individual
DR. ADAM BENJAMIN PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/MPH
Contact information
Practice address
1364 CLIFTON RD NE, DEPARTMENT OF RADIOLOGY BG-20, ATLANTA, GA 30322-1059
(404) 712-4519
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
75871
GA
2085R0202X
Diagnostic Radiology Physician
Primary
T2955
TX
Other
Enumeration date
04/14/2010
Last updated
04/28/2022
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