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NPI Code Detail

MEDICARE: DR. KEVIN PRICE M.D.

MEDICARE: DR. KEVIN PRICE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician33346SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063688661
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN PRICE M.D.
Provider Business Mailing Address
First Line : PO BOX 50520
Second Line : DEPT. OF EMERGENCY MEDICINE
City : SUMMERVILLE
State : SC
Zip : 29485-0520
Country : US
Telephone Number : 843-552-4240
Fax Number : 843-552-4121
Provider Business Practice Location Address
First Line : 1101 BOWMAN ROAD
Second Line : DEPT. OF EMERGENCY MEDICINE
City : MT PLEASANT
State : SC
Zip : 29464-3213
Country : US
Telephone Number : 843-552-4240
Fax Number : 843-552-4121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2008
Last Update Date : 12/07/2020

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Directions to “ DR. KEVIN PRICE M.D.” Practice Location

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