Individual
HORACE PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17.5 NORTH LAFAYETTE SQUARE, LAGRANGE, GA 30240
(706) 756-2300
Mailing address
17.5 NORTH LAFAYETTE SQUARE, LAGRANGE, GA 30240-5657
(706) 756-2300
(706) 242-0982
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
PHCP011051
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WH0200X
—
GA
Enumeration date
05/11/2021
Last updated
05/11/2021
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