Organization
PRICE FAMILY CLINIC
Active
Other names
Petersville Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA DIANE PRICE CRNP (OWNER)
(256) 629-0033
Entity
Organization
Contact information
Practice address
314 MAIN ST, WATERLOO, AL 35677-4401
(256) 629-0033
(256) 629-0042
Mailing address
314 MAIN ST, WATERLOO, AL 35677-4401
(256) 629-0033
(256) 629-0042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-01128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265837769
INDIVIDUAL NPI
AL
Enumeration date
04/16/2018
Last updated
06/02/2026
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