Provider Demographics
NPI:1326160110
Name:PRICE, JAMES B JR (PHD, CPO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:PRICE
Suffix:JR
Gender:M
Credentials:PHD, CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8478 ROCKY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-8608
Mailing Address - Country:US
Mailing Address - Phone:704-455-6346
Mailing Address - Fax:704-455-2818
Practice Address - Street 1:744 HARTNESS RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3425
Practice Address - Country:US
Practice Address - Phone:704-878-9168
Practice Address - Fax:704-871-0655
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795094Medicaid
NC7702812Medicaid
0141350004Medicare ID - Type UnspecifiedOFFICE PROVIDER NUMBER