Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 000046 | GA |
N | 222Z00000X | Podiatrist | 000046 | GA |
N | 224P00000X | Prosthetist | 000046 | GA |
NPI | 1194981282 |
---|---|
Provider Name | Mr. Patrick Sean Price |
First Address | Martinez, GA 30907-6800 |
Second Address | Martinez, GA 30907-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 15/10/2009 |