Healthcare Provider Details

I. General information

NPI: 1457448664
Provider Name (Legal Business Name): MARTA PRICE AND ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 S CHURCH ST SUITE C
ASHEBORO NC
27203-6769
US

IV. Provider business mailing address

1130 S CHURCH ST SUITE C
ASHEBORO NC
27203-6769
US

V. Phone/Fax

Practice location:
  • Phone: 336-302-2072
  • Fax: 336-633-3189
Mailing address:
  • Phone: 336-633-3190
  • Fax: 336-633-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number93650
License Number StateNC

VIII. Authorized Official

Name: MARTA SMITH PRICE
Title or Position: PRESIDENT
Credential: APRN,BC
Phone: 336-633-3190