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General NPI Number Information
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NPI Number | 1700984432
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Entity Type | Individual
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Provider Name | CARLA M PRICE M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 3575 BRASELTON HWY
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City | DACULA
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State | GA
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Zip | 30019-1155
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Country | US
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Telephone | 770-848-5300
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Fax | 770-848-5301
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Provider Business Mailing Address
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Address Line | PO BOX 742616
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City | ATLANTA
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State | GA
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Zip | 30374-2616
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Country | US
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Telephone | 770-219-8420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 049410
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License Number State | GA
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