Eustacia L Pratt in Johnson City - Family Medicine
Eustacia L Pratt - NPI 1114977972
Eustacia L Pratt is a Family Medicine in Johnson City, Tennessee. Eustacia L Pratt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eustacia L Pratt is 1114977972. The last update date is 2014-07-30.
Eustacia L Pratt's current location address is 119 Boone Ridge Dr, Johnson City, Tennessee. You can contact this provider via phone number 4232821480 and fax number 4239281353. The mailing address for Eustacia L Pratt is 119 Boone Ridge Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eustacia L Pratt |
|---|---|
| Address | 119 Boone Ridge Dr, Johnson City, Tennessee |
| Phone Number | 4232821480 |
| Fax Number | 4239281353 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114977972 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2014-07-30 |
Provider Mailing Address Detail
| Address | 119 Boone Ridge Dr |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376154998 |
| Phone Number | 4232821480 |
| Fax Number | 4239281353 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD32135 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3849642 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Eustacia L Pratt?
The Eustacia L Pratt has been issued the NPI (National Provider Identifier) 1114977972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Eustacia L Pratt is located?
The Eustacia L Pratt is situated at the following address: 119 Boone Ridge Dr, Johnson City, TN, 376154998.
What is Eustacia L Pratt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eustacia L Pratt is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114977972 to Eustacia L Pratt?
The Eustacia L Pratt received its 1114977972 assignment from the Centers for Medicare & Medicaid Services on 2006-05-11.
As of what date were the Eustacia L Pratt's details last updated?
The information pertaining to the Eustacia L Pratt, including its address, specialty, and other details, was most recently updated on 2014-07-30.