Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 65785 | GA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 65785 | GA |
NPI | 1194846097 |
---|---|
Provider Name | Dr. Julian Paul Price |
First Address | Athens, GA 30606-2887 |
Second Address | Athens, GA 30606-2853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 22/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
12218755 | CAQH NUMBER (01) |