Provider Demographics
NPI:1346464096
Name:PRICE, GERRI J (CFOM, CPED)
Entity Type:Individual
Prefix:MRS
First Name:GERRI
Middle Name:J
Last Name:PRICE
Suffix:
Gender:F
Credentials:CFOM, CPED
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:704-455-5818
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:2007-04-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7702812Medicaid
NC795116Medicaid
NC7795095Medicaid
NC7702812Medicaid