Price, Letitia W
Price, Letitia W is an individual health care provider with primary practice located at 132 Old Norton Rd Suite 200, Fayetteville GA 30215-4872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Price, Letitia W can be contacted via phone (678) 817-1117.Contact Information
Primary practice address
132 Old Norton Rd Suite 200
Fayetteville GA 30215-4872
Phone: (678) 817-1117
Fax: (678) 817-0823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 005009 | Georgia |
Profile Details
| NPI number | 1558493619 |
|---|---|
| LBN Legal business name | Price, Letitia W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Jan 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558493619 | NPPES |
| Georgia | Other | CA9328 | MEDICARE GROUP-DMERC |
| Georgia | MEDICAID | 747792658A | MEDICARE GROUP-DMERC |
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