Provider Demographics
NPI:1639666993
Name:PRICE, KAREN MEADOWS
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MEADOWS
Last Name:PRICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 UNIVERSITY AVE STE 407B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-2101
Mailing Address - Country:US
Mailing Address - Phone:706-221-3630
Mailing Address - Fax:706-221-3630
Practice Address - Street 1:3025 UNIVERSITY AVE STE 407B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-2101
Practice Address - Country:US
Practice Address - Phone:706-221-3630
Practice Address - Fax:706-221-3630
Is Sole Proprietor?:No
Enumeration Date:2018-04-21
Last Update Date:2018-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA171W00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor