Most Relevant Information
Provider Data
| NPI Number: | 1003282849 |
| Provider Name: | ANGELIC J PRATHER D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | CHIR009556 |
Most Important Dates
| Enumeration Date: | 08/17/2015 |
| Last Updated: | 08/17/2015 |
Provider Practice Location
1619 HIGHWAY 19 N
THOMASTON
GA
302862277
Practice Location Phone/Fax
| Phone: | 6784324755 |
| Fax: | 6784324753 |
Provider Mailing Location
PO BOX 307
MANCHESTER
GA
318160307
Provider Mailing Phone/Fax
| Phone: | 6784324755 |
| Fax: | 6784324753 |