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NPI Code Detail

MEDICARE: PETER ANTHONY RICE MD

MEDICARE: PETER ANTHONY RICE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician200200164NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137270OTHERAZSTATE LICENSE
2200200164OTHERNCSTATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083639256
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER ANTHONY RICE MD
Provider Business Mailing Address
First Line : 5617 RAMSEY ST
Second Line : ATTN: SHANTAE LOCKHART
City : FAYETTEVILLE
State : NC
Zip : 28311-1423
Country : US
Telephone Number : 910-483-7337
Fax Number : 910-483-0648
Provider Business Practice Location Address
First Line : 3436 N MAIN ST
Second Line :
City : HOPE MILLS
State : NC
Zip : 28348-1834
Country : US
Telephone Number : 910-426-7337
Fax Number : 910-424-1418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 06/16/2026

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Directions to “ PETER ANTHONY RICE MD” Practice Location

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