Provider Demographics
NPI:1083911259
Name:PRATT, JOSHUA DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:DANIEL
Last Name:PRATT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:98 DOCTORS DR STE 320
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-4565
Mailing Address - Country:US
Mailing Address - Phone:828-586-3976
Mailing Address - Fax:828-631-8750
Practice Address - Street 1:98 DOCTORS DR STE 320
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-4565
Practice Address - Country:US
Practice Address - Phone:828-586-3976
Practice Address - Fax:828-631-8750
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2016-00527208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program