Price, Clyde Kent

Price, Clyde Kent is an individual health care provider with primary practice located at 216 Corder Rd , Warner Robins GA 31088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Price, Clyde Kent can be contacted via phone (478) 923-5872.

Contact Information

Primary practice address
216 Corder Rd Warner Robins GA 31088
Fax: (478) 922-9020
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R7H80 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 34436 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 067961 Georgia

Profile Details

NPI number 1518903608
LBN Legal business name Price, Clyde Kent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518903608 NPPES
North Carolina Other 1083Q BCBS NC
North Carolina Other 180031856 BCBS NC
North Carolina MEDICAID 8969189 BCBS NC

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