Provider Demographics
NPI:1689676157
Name:PRICE, GINARI GIBB (MD)
Entity Type:Individual
Prefix:DR
First Name:GINARI
Middle Name:GIBB
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 DEVANT ST
Mailing Address - Street 2:STE 504
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-2720
Mailing Address - Country:US
Mailing Address - Phone:770-703-4448
Mailing Address - Fax:770-703-4038
Practice Address - Street 1:101 DEVANT ST
Practice Address - Street 2:STE 504
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214
Practice Address - Country:US
Practice Address - Phone:770-703-4448
Practice Address - Fax:770-703-4038
Is Sole Proprietor?:No
Enumeration Date:2005-08-13
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0567122084P0804X, 2084S0012X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine