Provider Demographics
NPI:1639112741
Name:PRICE, WILLIAM ARMISTEAD (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ARMISTEAD
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 IREDELL ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705
Mailing Address - Country:US
Mailing Address - Phone:919-689-6002
Mailing Address - Fax:919-416-3711
Practice Address - Street 1:810 IREDELL ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705
Practice Address - Country:US
Practice Address - Phone:919-689-6002
Practice Address - Fax:919-416-3711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC317452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
2177900EMedicare ID - Type Unspecified
F42258Medicare UPIN