Individual
GLORIA C. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3800 PRINCETON LAKES PKWY SW, ATLANTA, GA 30331-5580
(404) 948-3019
Mailing address
114 TOWNPARK DR NW, SUITE 240, KENNESAW, GA 30144-3715
(770) 952-8612
(678) 803-6944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN225038
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142148B
—
GA
01
—
2025093I69
MEDICARE ID
GA
Enumeration date
11/13/2013
Last updated
04/11/2023
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