# RICHARD M PRICE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Price Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518191329
- **Authorized official:** DR. RICHARD M PRICE M.D. (OWNER/ ADMINISTRATOR)
- **Authorized official phone:** (601) 856-6024

## Contact information

- **Practice address:** 230 TRACE COLONY PARK DR STE 2, RIDGELAND, MS 39157
- **Practice address phone:** (601) 992-3996
- **Practice address fax:** (769) 300-3112
- **Mailing address:** 230 TRACE COLONY PARK DR STE 2, RIDGELAND, MS 39157-8810
- **Mailing address phone:** (601) 992-3996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 13907 | MS | Yes |

## Other

- **Enumeration date:** 05/07/2009
- **Last updated:** 05/20/2019