Angelic J Prather
Chiropractor
1619 Highway 19 N
Thomaston
, Georgia 30286-2277
Angelic J Prather
Chiropractor
1619 Highway 19 N
Thomaston
, Georgia 30286-2277
(678) 432-4753
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Angelic J Prather
- Po Box 307
- Manchester, GA
- Zip : 31816-0307
- Fax : (678) 432-4753
- Phone : (678) 432-4755
Second Address
- Angelic J Prather
- 1619 Highway 19 N
- Thomaston, GA
- Zip : 30286-2277
- Fax : (678) 432-4753
- Phone : (678) 432-4755
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR009556 | GA |
National Provider Identifier
| NPI | 1003282849 |
|---|---|
| Provider Name | Angelic J Prather |
| First Address | Manchester, GA 31816-0307 |
| Second Address | Thomaston, GA 30286-2277 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2015 |
| Last Update Date | 17/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CHIR009556 | STATE LICENSE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.