MEDICARE: DR. MICHAEL FRANCES PRATT 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	207Y00000X	Otolaryngology Physician	041930	GA

General Provider Information

NPI Number	:	1851395560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FRANCES PRATT M.D.

Provider Business Mailing Address
First Line	:	281 HERITAGE WALK
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188
Country	:	US
Telephone Number	:	770-516-0661
Fax Number	:	770-928-9040

Provider Business Practice Location Address
First Line	:	281 HERITAGE WALK
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188
Country	:	US
Telephone Number	:	770-516-0661
Fax Number	:	770-928-9040

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/22/2014

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