Joel Kevin Price, PA | |
4039 Atlanta St, Powder Springs, GA 30127-2666 | |
(770) 943-3139 | |
Not Available |
Full Name | Joel Kevin Price |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 4039 Atlanta St, Powder Springs, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649618570 | NPI | - | NPPES |
002758 | Other | GA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002758 (Georgia) | Primary |
Entity Name | Piedmont Medical Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
Mailing Address | Practice Location Address |
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Joel Kevin Price, PA 4039 Atlanta St, Powder Springs, GA 30127-2666 Ph: (770) 943-3139 | Joel Kevin Price, PA 4039 Atlanta St, Powder Springs, GA 30127-2666 Ph: (770) 943-3139 |
Caroline Lee Saye, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1400 Bullard Mnr, Powder Springs, GA 30127 Phone: 678-354-5744 | |
Lakin Stephens, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4178 Linkside Dr, Powder Springs, GA 30127 Phone: 912-501-2690 | |
Morgan Holnaider, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5058 Kingsbridge Pass, Powder Springs, GA 30127 Phone: 770-733-7140 |