Provider Demographics
NPI:1093204059
Name:PRATER, ANNE (DO)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:PRATER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249
Mailing Address - Country:US
Mailing Address - Phone:205-934-2373
Mailing Address - Fax:205-975-5242
Practice Address - Street 1:619 19TH STREET S. UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249
Practice Address - Country:US
Practice Address - Phone:205-934-2373
Practice Address - Fax:205-975-5242
Is Sole Proprietor?:No
Enumeration Date:2018-05-05
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA390200000X
ALDO.2772207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program