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DR. CHRISTOPHER D PRATER MD

Addiction Substance Use Disorder

Chattanooga, Tennessee

Provider NPI: 1598767444

Provider Information:
DR. CHRISTOPHER D PRATER MD
Gender: M
Sole Proprietor


Practice Location:
105 LEE PARKWAY DR SUITE A CHATTANOOGA, TN 37421 US
Tel: 423-305-1508  Fax: 423-305-1514

Business Mailing Address:
105 LEE PARKWAY DR SUITE A CHATTANOOGA, TN 37421 US
Tel: 423-305-1508  Fax: 423-305-1514

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XPhysicians
Family Medicine
TNTN8547
N101YA0400XBehavioral Health & Social Service Providers
Counselor
TNTN8547
N101YM0800XBehavioral Health & Social Service Providers
Counselor
TNTN8547
N103TM1800XBehavioral Health & Social Service Providers
Psychologist
TNTN8547

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN103I084762TN01
MEDICARE GROUP3370066TN01
B59382TN02
BCBS PIN4256026TN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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