Provider Demographics
NPI:1295189306
Name:MONA VENZON RICE, MD PC
Entity Type:Organization
Organization Name:MONA VENZON RICE, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:VENZON
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-458-0097
Mailing Address - Street 1:1416 BEAR PAW LN
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-9150
Mailing Address - Country:US
Mailing Address - Phone:828-458-0097
Mailing Address - Fax:825-575-5448
Practice Address - Street 1:100 DISTRICT DR APT 218
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-0232
Practice Address - Country:US
Practice Address - Phone:828-774-5068
Practice Address - Fax:828-575-5448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2005-014752084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5919832Medicaid