Individual
DR. MARY ELIZABETH PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1907 S 17TH STREET, SUITE 3, WILMINGTON, NC 28401-6656
(910) 341-0011
(910) 341-0012
Mailing address
1907 S 17TH STREET, SUITE 3, WILMINGTON, NC 28401-6656
(910) 341-0011
(910) 341-0012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101057810
VA
207W00000X
Ophthalmology Physician
Primary
9700718
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078660
CIGNA
—
05
—
010159938
—
VA
01
—
176811
ANTHEM
—
01
—
259241
SOUTHERN HEALTH
—
01
—
365030
MDIPA
—
01
—
3840631
AETNA
—
Enumeration date
08/30/2006
Last updated
05/25/2012
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