Provider Demographics
NPI:1760564173
Name:PRATT, FRANK G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:PRATT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1013 N 5TH AVE NE STE 4
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-2664
Mailing Address - Country:US
Mailing Address - Phone:706-234-0034
Mailing Address - Fax:706-234-0033
Practice Address - Street 1:1013 N 5TH AVE NE
Practice Address - Street 2:STE 4
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2664
Practice Address - Country:US
Practice Address - Phone:706-234-0034
Practice Address - Fax:706-234-0033
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2019-08-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA185382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000227488CMedicaid
GA000227488CMedicaid
GA26BDGVQMedicare ID - Type Unspecified