MEDICARE: DR. ALBENNY PRICE DC

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
1	111N00000X	Chiropractor	002561	GA

General Provider Information

NPI Number	:	1235328105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBENNY PRICE DC

Provider Business Mailing Address
First Line	:	PO BOX 42248
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-0248
Country	:	US
Telephone Number	:	404-755-2291
Fax Number	:	404-755-5377

Provider Business Practice Location Address
First Line	:	2391 BENJAMIN E MAYS DR SW
Second Line	:	SECOND FLOOR
City	:	ATLANTA
State	:	GA
Zip	:	30311-3251
Country	:	US
Telephone Number	:	404-755-2291
Fax Number	:	404-755-5377

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	10/17/2007

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Directions to “ DR. ALBENNY PRICE DC” Practice Location

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