| Katie Grubbs Price, MD | |
|
600 N Wheeler Ave, Prosperity, SC 29127-9332 | |
| (334) 255-7000 | |
| Not Available |
| Full Name | Katie Grubbs Price |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 600 N Wheeler Ave, Prosperity, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861653768 | NPI | - | NPPES |
| 16019 | Other | HI | STATE OF HAWAII MEDICAL LICENSE |
| 32166 | Other | SC | LICENSE |
| 5501 | Other | HI | MEDICAL LISCENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16019 (Hawaii) | Primary |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Grubbs Price, MD Po Box 630, Prosperity, SC 29127-0630 Ph: (803) 364-4852 | Katie Grubbs Price, MD 600 N Wheeler Ave, Prosperity, SC 29127-9332 Ph: (334) 255-7000 |
Dean Bernard Kubacz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 | |
William M Dixon Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 | |
Oscar F Lovelace Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N Wheeler Ave, Prosperity, SC 29127 Phone: 803-364-4852 Fax: 803-364-2014 |