Larry Prentice's National Provider Identifier (NPI) Details
Larry Prentice,
NPI: 1255983862
Enumeration Date: 2019-07-13
Last updated: 2019-07-13
Sole Proprietor: YES
Status: active
Postal Address: 2420 GASLIGHT PL SW APT 3, DECATUR, AL
Phone: 256-701-1039
Primary Practice Address: 2205 BELTLINE RD SW, DECATUR, AL
Practice's phone: 256-973-4134