person
Miss Letitia W Price, PA
Medical Physician Assistant in Fayetteville, Georgia
NPI 1558493619

Letitia W Price is a Medical Physician Assistant based in Atlanta, GA and is specialized in Medical. Letitia W Price practices in Fayetteville, GA and has the professional credentials of PA. The NPI Number for Letitia W Price is 1558493619 and holds a License No. 005009 (Georgia).

The current practice location address for Letitia W Price is 132 Old Norton Rd, Fayetteville, GA and can be reached out via phone at 678-817-1117 and via fax at 678-817-0823.

Location: 132 Old Norton Rd, Fayetteville, GA, 30341-1072
person
Provider Profile Details
NPI Number
1558493619
Provider Name
Letitia W Price
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
132 Old Norton Rd, Fayetteville, GA, 30341-1072
Phone Number
678-817-1117
Fax Number
678-817-0823
Provider Enumeration Date
03/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA9328 01 GA MEDICARE GROUP-DMERC
747792658A 05 GA
institution
Provider Business Practice Location Address Details
Address
132 Old Norton Rd
City
State
Zip
30215-4872
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider Business Mailing Address Details
Address
132 Old Norton Rd
City
State
Zip
30215-4872
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
005009 (Georgia)
Definition
Definition to come...
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