MEDICARE: DR. MARCUS C RICE M.D.

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	2084N0400X	Neurology Physician	0101030997	VA

General Provider Information

NPI Number	:	1144229360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS C RICE M.D.

Provider Business Mailing Address
First Line	:	6161 KEMPSVILLE CIR
Second Line	:	SUITE 315
City	:	NORFOLK
State	:	VA
Zip	:	23502-3932
Country	:	US
Telephone Number	:	757-461-5400
Fax Number	:	757-461-3305

Provider Business Practice Location Address
First Line	:	6161 KEMPSVILLE CIR
Second Line	:	SUITE 315
City	:	NORFOLK
State	:	VA
Zip	:	23502-3932
Country	:	US
Telephone Number	:	757-461-5400
Fax Number	:	757-461-3305

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	10/11/2007

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