Provider Demographics
NPI:1205884426
Name:PRICE, JEFFREY F (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:F
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 1:107 HEALTH CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35045-2344
Mailing Address - Country:US
Mailing Address - Phone:205-280-1010
Mailing Address - Fax:205-280-3744
Practice Address - Street 1:107 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2344
Practice Address - Country:US
Practice Address - Phone:205-280-1010
Practice Address - Fax:205-280-3744
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21217207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG16744Medicare UPIN