MEDICARE: WILLIAM M. RICE, D.C., P.C.

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
1	111N00000X	Chiropractor	CHIR004942	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356599872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM M. RICE, D.C., P.C.

Provider Business Mailing Address
First Line	:	108 SRP DR
Second Line	:	SUITE A
City	:	EVANS
State	:	GA
Zip	:	30809-3319
Country	:	US
Telephone Number	:	706-860-4001
Fax Number	:	706-860-6520

Provider Business Practice Location Address
First Line	:	108 SRP DR
Second Line	:	SUITE A
City	:	EVANS
State	:	GA
Zip	:	30809-3319
Country	:	US
Telephone Number	:	706-860-4001
Fax Number	:	706-860-6520

Authorized Official
Title or Position	:	CEO/CHIROPRACTOR
Name	:	DR. WILLIAM MICHAEL RICE
Credential	:	D.C.
Telephone Number	:	706-860-4001

Provider Enumeration Date	:	09/09/2008
Last Update Date	:	09/17/2016

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