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NPI Code Detail

MEDICARE: MR. ERIC PRICE II

MEDICARE:  MR. ERIC  PRICE II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerGA
2390200000XStudent in an Organized Health Care Education/Training ProgramGA

General Provider Information

NPI Number : 1053264135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC PRICE II
Provider Business Mailing Address
First Line : 167 LAURELBROOK DR
Second Line :
City : LEESBURG
State : GA
Zip : 31763-4925
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 NOTTINGHAM WAY
Second Line :
City : ALBANY
State : GA
Zip : 31707-6677
Country : US
Telephone Number : 229-435-1301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “ MR. ERIC PRICE II ” Practice Location

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