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Individual

ALICIA M PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
165 ISLEWORTH WAY, FAYETTEVILLE, GA 30215-2763
(646) 918-0085
Mailing address
165 ISLEWORTH WAY, FAYETTEVILLE, GA 30215-2763
(646) 918-0085

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN171017
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
F306046
NY
363LA2200X
Adult Health Nurse Practitioner
R212315
MD

Other

Enumeration date
06/17/2008
Last updated
08/19/2022
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