Provider Demographics
NPI:1285801050
Name:PRATT, PHILIP JAMES (CO, CPED, RTPO)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:JAMES
Last Name:PRATT
Suffix:
Gender:M
Credentials:CO, CPED, RTPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654-1730
Mailing Address - Country:US
Mailing Address - Phone:864-276-6532
Mailing Address - Fax:
Practice Address - Street 1:101 MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:HONEA PATH
Practice Address - State:SC
Practice Address - Zip Code:29654-1730
Practice Address - Country:US
Practice Address - Phone:864-276-6532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist