Individual
JOEL KEVIN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4039 ATLANTA ST, POWDER SPRINGS, GA 30127-2666
(770) 943-3139
Mailing address
4039 ATLANTA ST, POWDER SPRINGS, GA 30127-2666
(770) 943-3139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002758
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002758
STATE LICENSE
GA
Enumeration date
06/13/2013
Last updated
06/13/2013
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