Individual
CORIE PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
157 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Mailing address
157 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN191332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160872
—
GA
Enumeration date
05/01/2015
Last updated
09/21/2016
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