Healthcare Provider Details

I. General information

NPI: 1265402598
Provider Name (Legal Business Name): GEORGE MERRILL RICE III D.O., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 05/07/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SEWELLS POINT BRANCH HEALTH CLINIC 1721 ADMIRAL TAUSSIG BLVD
NORFOLK VA
23511
US

IV. Provider business mailing address

622 REDGATE AVE
NORFOLK VA
23507-1702
US

V. Phone/Fax

Practice location:
  • Phone: 850-619-3300
  • Fax:
Mailing address:
  • Phone: 850-497-0703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1356
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number34006795-R
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: