Individual
DR. BURTON PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 9TH ST, GREENWOOD, MS 38930-4015
(662) 459-1367
Mailing address
PO BOX 1410, ATTN: CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
(662) 459-7189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17912
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06725783
—
MS
01
—
P00004486
MEDICARE RAILROAD
MS
Enumeration date
03/17/2006
Last updated
03/29/2008
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