Provider Demographics
NPI:1265402598
Name:RICE, GEORGE MERRILL III (DO, MPH)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MERRILL
Last Name:RICE
Suffix:III
Gender:
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 REDGATE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1702
Mailing Address - Country:US
Mailing Address - Phone:850-497-0703
Mailing Address - Fax:
Practice Address - Street 1:SEWELLS POINT BRANCH HEALTH CLINIC
Practice Address - Street 2:1721 ADMIRAL TAUSSIG BLVD
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511
Practice Address - Country:US
Practice Address - Phone:850-619-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006795-R2083A0100X
171000000X
AL1356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No171000000XOther Service ProvidersMilitary Health Care Provider