Provider Demographics
NPI:1285609669
Name:PRICE, JULIA HONEYCUTT (PA-C)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:HONEYCUTT
Last Name:PRICE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JUIA
Other - Middle Name:HONEYCUTT
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 N MAIN ST STE 111
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4755
Mailing Address - Country:US
Mailing Address - Phone:704-989-7526
Mailing Address - Fax:
Practice Address - Street 1:201 N MAIN ST STE 111
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4755
Practice Address - Country:US
Practice Address - Phone:704-254-9279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103838363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8102477Medicaid
SC0418PAMedicaid
NC8102477Medicaid
NC2759698BMedicare PIN
SC0418PAMedicaid