Healthcare Provider Details

I. General information

NPI: 1497182877
Provider Name (Legal Business Name): ERICA CHANTEL RICE RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 10/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 BELLE OAKS DR
CHARLESTON SC
29405-8537
US

IV. Provider business mailing address

539 UNION BLVD
UNION SC
29379-2940
US

V. Phone/Fax

Practice location:
  • Phone: 866-571-2700
  • Fax: 877-571-2124
Mailing address:
  • Phone: 864-466-2118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: