Price, Tara S

Price, Tara S is an individual health care provider with primary practice located at 1318 Harrison Ave , Mccomb MS 39648-2830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Price, Tara S can be contacted via phone (601) 684-2300.

Contact Information

Primary practice address
1318 Harrison Ave Mccomb MS 39648-2830
Phone: (601) 684-2300
Fax: (601) 684-2360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R863839 Mississippi

Profile Details

NPI number 1437178589
LBN Legal business name Price, Tara S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 11th, 2014 - about 10 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 1437178589 NPPES
Mississippi MEDICAID 04178340

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