Price, Theolyn N
Price, Theolyn N is an individual health care provider with primary practice located at 2500 Hospital Blvd Ste 420 , Roswell GA 30076. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is her primary health care specialty. Price, Theolyn N can be contacted via phone (704) 249-7327.Contact Information
Primary practice address
2500 Hospital Blvd Ste 420
Roswell GA 30076
Phone: (704) 249-7327
Fax: (770) 421-0228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 45827 | Minnesota |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | ME110622 | Florida |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 52769 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 80819 | Georgia |
Profile Details
| NPI number | 1265402317 |
|---|---|
| LBN Legal business name | Price, Theolyn N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 30th, 2019 - about 7 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 | 1265402317 | NPPES |
| Minnesota | MEDICAID | 003983700 | |
| Minnesota | Other | P00042740 | |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | 35294500 |
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