Individual
JERRY PRICE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2010 BARRINGTON LN, VILLA RICA, GA 30180-6954
(770) 824-7855
Mailing address
2010 BARRINGTON LN, VILLA RICA, GA 30180-6954
(770) 824-7855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN096358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121044531A
—
GA
Enumeration date
04/20/2006
Last updated
09/26/2019
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