Prather, Deborah

Prather, Deborah is an individual health care provider with primary practice located at 3334 Highway 155 , Locust Grove GA 30248-3513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Prather, Deborah can be contacted via phone (770) 305-7929.

Contact Information

Primary practice address
3334 Highway 155 Locust Grove GA 30248-3513
Phone: (770) 305-7929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN123825 Georgia

Profile Details

NPI number 1063690964
LBN Legal business name Prather, Deborah
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated May 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063690964 NPPES
Georgia MEDICAID 003205587A
Georgia Other 061407
Georgia Other 12354545

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