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NPI Code Detail

MEDICARE: MS. CAROLINE ROBERTS PRICE MD

MEDICARE:  MS. CAROLINE ROBERTS PRICE  MD
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
1207N00000XDermatology Physician22781SC

General Provider Information

NPI Number : 1669463030
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CAROLINE ROBERTS PRICE MD
Provider Business Mailing Address
First Line : 10 ENTERPRISE BLVD
Second Line : STE 207
City : GREENVILLE
State : SC
Zip : 29615-3554
Country : US
Telephone Number : 864-331-2505
Fax Number : 864-331-2510
Provider Business Practice Location Address
First Line : 10 ENTERPRISE BLVD
Second Line : STE 207
City : GREENVILLE
State : SC
Zip : 29615-3554
Country : US
Telephone Number : 864-331-2505
Fax Number : 864-331-2510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 10/25/2016

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Directions to “ MS. CAROLINE ROBERTS PRICE MD” Practice Location

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