MEDICARE: DR. DONNA LYNN PRATHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	23872	NC

General Provider Information

NPI Number	:	1902847650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA LYNN PRATHER M.D.

Provider Business Mailing Address
First Line	:	107-A SPRINGVALLEY ROAD
Second Line	:	APT A
City	:	CARRBORO
State	:	NC
Zip	:	27510-4172
Country	:	US
Telephone Number	:	919-929-6519
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N GREENSBORO ST
Second Line	:	SUITE D-7
City	:	CARRBORO
State	:	NC
Zip	:	27510-1833
Country	:	US
Telephone Number	:	919-929-6519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	06/18/2008

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