MEDICARE: DR. WILLIAM MICHAEL RICE D.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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467505453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MICHAEL RICE D.C.

Provider Business Mailing Address
First Line	:	108 SRP DRIVE
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 DRIVE
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	09/15/2016

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