Prater, Richard Brian

Prater, Richard Brian is an individual health care provider with primary practice located at 270 Chastain Rd Nw , Kennesaw GA 30144-3012. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Prater, Richard Brian can be contacted via phone (770) 421-8005.

Contact Information

Primary practice address
270 Chastain Rd Nw Kennesaw GA 30144-3012
Phone: (770) 421-8005
Fax: (770) 424-5662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005499 Georgia

Profile Details

NPI number 1841462538
LBN Legal business name Prater, Richard Brian
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2008
Last updated Feb 9th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841462538 NPPES
Georgia MEDICAID 442741884B
Georgia MEDICAID 442741884A

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