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Individual

DR. CLYDE KENT PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
216 CORDER RD, WARNER ROBINS, GA 31088
(478) 923-5872
(478) 922-9020
Mailing address
PO BOX 6479, 216 CORDER RD, WARNER ROBINS, GA 31088
(478) 923-5872
(478) 922-9020

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
067961
GA
207W00000X
Ophthalmology Physician
34436
NC
207W00000X
Ophthalmology Physician
R7H80
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083Q
BCBS NC
NC
01
180031856
RAILROAD MEDICARE
05
8969189
NC
Enumeration date
06/20/2006
Last updated
06/13/2018
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