Individual
DR. DEANNA I. PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 22ND AVE FL 3, MERIDIAN, MS 39301-3223
(601) 703-8370
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
(901) 226-3160
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03533875
—
MS
01
—
730-09959
BLUE CROSS OF AL
—
01
—
P00043868
RAILROAD MEDICARE
—
Enumeration date
11/18/2005
Last updated
09/23/2024
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