Dr Octavia C Prince, | |
6414 Park Heights Ave Ste G1, Baltimore, MD 21215-3064 | |
(404) 263-1004 | |
Not Available |
Full Name | Dr Octavia C Prince |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 6 Years |
Location | 6414 Park Heights Ave Ste G1, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104442573 | NPI | - | NPPES |
887504900 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S03991 (Maryland) | Primary |
Provider Name | Fidel Integrated Medical Solutions Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770968687 PECOS PAC ID: 6406165521 Enrollment ID: O20151012001331 |
Provider Name | Zen Chiropractic & Wellness Space |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841909900 PECOS PAC ID: 3274906003 Enrollment ID: O20230227001284 |
Mailing Address | Practice Location Address |
---|---|
Dr Octavia C Prince, 6414 Park Heights Ave Ste G1, Baltimore, MD 21215-3064 Ph: (404) 263-1004 | Dr Octavia C Prince, 6414 Park Heights Ave Ste G1, Baltimore, MD 21215-3064 Ph: (404) 263-1004 |
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