Individual
DR. JIMMY PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8016 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7266
(843) 347-2130
Mailing address
8016 MYRTLE TRACE DR, CONWAY, SC 29526-8945
(843) 347-7266
(843) 347-2130
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8752
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087523
—
SC
05
—
GP4505
—
SC
Enumeration date
09/25/2006
Last updated
10/18/2011
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