Healthcare Provider Details

I. General information

NPI: 1083639256
Provider Name (Legal Business Name): PETER ANTHONY RICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3436 N MAIN ST
HOPE MILLS NC
28348-1834
US

IV. Provider business mailing address

5617 RAMSEY ST ATTN: SHANTAE LOCKHART
FAYETTEVILLE NC
28311-1423
US

V. Phone/Fax

Practice location:
  • Phone: 910-426-7337
  • Fax: 910-424-1418
Mailing address:
  • Phone: 910-483-7337
  • Fax: 910-483-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200200164
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: