| Doctor Name: | CHARLYNNE FREEMAN PRICE |
| NPI Number: | 1336372333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP |
| License Number: | 5004457 |
| Business Practice Address: | 571 S Allen Rd Flat Rock, NC - 287319447 |
| Business Phone Number: | 8286926178 |
| Business Fax Number: | 8282330358 |
| Mailing Address: | 571 S Allen Rd, FLAT ROCK |
| State: | NC |
| Postal Code: | 287319447 |
| Phone Number: | 8286926178 |
| Fax Number: | 8282330358 |
| NPI Enumeration Date: | 08/25/2009 |
| NPI Last Update Date: | 05/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 5004457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |