Provider Demographics
NPI:1306821848
Name:PRICE, JOHN NAYLOR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:NAYLOR
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 751803
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1803
Mailing Address - Country:US
Mailing Address - Phone:336-751-8000
Mailing Address - Fax:336-751-8010
Practice Address - Street 1:485 VALLEY RD
Practice Address - Street 2:
Practice Address - City:MOCKSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27028-2074
Practice Address - Country:US
Practice Address - Phone:336-751-8000
Practice Address - Fax:336-751-8010
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2022-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA055274207Q00000X
NC201402238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA037970286AMedicaid
NC1306821848Medicaid
NCNCM688AMedicare UPIN
GA08BBRFMMedicare ID - Type Unspecified