Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 390200000X | TN |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 65877 | GA |
NPI | 1649494360 |
---|---|
Provider Name | Dr. John Thomas Prather |
First Address | Savannah, GA 31405-3662 |
Second Address | Savannah, GA 31405-3662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 31/05/2019 |