Price, Amy S

Price, Amy S is an individual health care provider with primary practice located at 1573 Medical Park Cir , Tupelo MS 38801-6580. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Price, Amy S can be contacted via phone (662) 844-9885.

Contact Information

Primary practice address
1573 Medical Park Cir Tupelo MS 38801-6580
Fax: (662) 842-1350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15506 Mississippi

Profile Details

NPI number 1790881274
LBN Legal business name Price, Amy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 9th, 2007 - about 18 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 1790881274 NPPES
Mississippi MEDICAID 00120923

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