Provider Demographics
NPI:1669443800
Name:RICE, CAROLYN CARSON (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:CARSON
Last Name:RICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10180 BITTERN DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7208
Mailing Address - Country:US
Mailing Address - Phone:850-497-0703
Mailing Address - Fax:
Practice Address - Street 1:340 HULSE RD
Practice Address - Street 2:NAVAL AEROSPACE MEDICAL ISTITUTE
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32508-1089
Practice Address - Country:US
Practice Address - Phone:850-261-0053
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI40812-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine