Individual
DR. E J PRICE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 RAWLS DRIVE, SUITE 900, MCCOMB, MS 39648
(601) 684-4443
(601) 684-4491
Mailing address
PO BOX 848, MCCOMB, MS 39649-0848
(601) 684-4443
(601) 684-4491
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
05010
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115569
—
MS
01
—
160042396
RAILROAD MEDICARE
MS
Enumeration date
08/29/2006
Last updated
07/23/2008
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