Individual
MARTIN L PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1710 14TH ST, MERIDIAN, MS 39301-4140
(601) 703-1485
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-1485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R825698
MS
Other
Enumeration date
09/24/2012
Last updated
11/18/2014
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