Healthcare Provider Details

I. General information

NPI: 1922661289
Provider Name (Legal Business Name): JOSHUA DON PRICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2019
Last Update Date: 01/10/2024
Certification Date: 01/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16063 HIGHWAY 69 S
MOUNDVILLE AL
35474-6209
US

IV. Provider business mailing address

PO BOX 687
MOUNDVILLE AL
35474-0687
US

V. Phone/Fax

Practice location:
  • Phone: 53-714-2992
  • Fax: 205-371-2901
Mailing address:
  • Phone: 205-371-4299
  • Fax: 205-371-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD41388
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: