Individual
MR. STEPHEN KOTY PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
211 LANDING RD APT C, NORTH MYRTLE BEACH, SC 29582-2999
(843) 845-7619
Mailing address
211 LANDING RD APT C, NORTH MYRTLE BEACH, SC 29582-2999
(843) 845-7619
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA43
SC
367H00000X
Anesthesiologist Assistant
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Other
Enumeration date
07/30/2014
Last updated
05/13/2021
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