| Spencer T Price Md Llc | |
|
3769 Bear Lake Rd Valdosta GA 31601-0219 | |
| (877) 258-6331 | |
| (718) 362-1651 |
| Full Name | Spencer T Price Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3769 Bear Lake Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Spencer Price (OWNER) |
| Authorized Official Contact | 8772586331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spencer T Price Md Llc 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (877) 258-6331 | Spencer T Price Md Llc 3769 Bear Lake Rd Valdosta GA 31601-0219 Ph: (877) 258-6331 |
| NPI Number | 1700615457 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Medicare PECOS PAC ID | 7113452178 |
|---|---|
| Medicare Enrollment ID | O20241127001783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700615457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Spencer Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881612067 PECOS PAC ID: 8729061528 Enrollment ID: I20040614000116 |
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