Healthcare Provider Details

I. General information

NPI: 1043393283
Provider Name (Legal Business Name): ANITA MCKINNEY PRICE P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 OAK RIDGE RD
ASHEVILLE NC
28805-2324
US

IV. Provider business mailing address

35 WOODFIN ST
ASHEVILLE NC
28801-3020
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-6150
  • Fax:
Mailing address:
  • Phone: 828-250-5277
  • Fax: 828-250-6165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number100653
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: