Provider Demographics
NPI:1356599872
Name:WILLIAM M. RICE, D.C., P.C.
Entity type:Organization
Organization Name:WILLIAM M. RICE, D.C., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-860-4001
Mailing Address - Street 1:108 SRP DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3319
Mailing Address - Country:US
Mailing Address - Phone:706-860-4001
Mailing Address - Fax:706-860-6520
Practice Address - Street 1:108 SRP DR
Practice Address - Street 2:SUITE A
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3319
Practice Address - Country:US
Practice Address - Phone:706-860-4001
Practice Address - Fax:706-860-6520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2016-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR004942111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000638756AMedicaid
511G700863Medicare PIN
GAU43261Medicare UPIN
GA35ZCCQCMedicare PIN