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Individual

MR. TIMOTHY R PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D,C,

Contact information

Practice address
2475 EAST PIEDMONT ROAD, MARIETTA, GA 30062
(678) 432-4755
(678) 432-4753
Mailing address
2475 EAST PIEDMONT ROAD, MARIETTA, GA 30062
(678) 432-4755
(678) 432-4753

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5863
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4041408
BCBS
GA
Enumeration date
07/12/2006
Last updated
07/08/2007
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