Basic Information
| Provider Information | |||||||||
| NPI: | 1922661289 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | DON | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 508 GREENE ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | AL | ||||||||
| PostalCode: | 367442316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3346243024 | ||||||||
| FaxNumber: | 3346244453 | ||||||||
| Practice Location | |||||||||
| Address1: | 850 PETER BRYCE BLVD | ||||||||
| Address2: | |||||||||
| City: | TUSCALOOSA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 354017457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2053481770 | ||||||||
| FaxNumber: | 2053481772 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/22/2019 | ||||||||
| LastUpdateDate: | 07/12/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD41388 | AL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.