Healthcare Provider Details

I. General information

NPI: 1790394120
Provider Name (Legal Business Name): PRICECO PROPERTIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 N POINT PKWY STE 207
ALPHARETTA GA
30005-4381
US

IV. Provider business mailing address

3180 N POINT PKWY STE 207
ALPHARETTA GA
30005-4381
US

V. Phone/Fax

Practice location:
  • Phone: 770-559-8725
  • Fax: 770-559-8276
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: DENNIS PRICE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 770-559-8725