Doctor Name: | DR. RUBIN BURT PRATER |
NPI Number: | 1215266135 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35891 |
Business Practice Address: | Highway 58 - Gallaher Road K-1007, Ms-7422 Oak Ridge, TN - 378314699 |
Business Phone Number: | 8655748562 |
Business Fax Number: | 8652414636 |
Mailing Address: | 11187 Big Canoe, BIG CANOE |
State: | GA |
Postal Code: | 301435102 |
Phone Number: | 7703671700 |
Fax Number: | |
NPI Enumeration Date: | 12/24/2009 |
NPI Last Update Date: | 12/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |