MEDICARE: MR. LEWIS STEPHEN RICE-BOYD BSN, RN

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	163W00000X	Registered Nurse	262392	SC

General Provider Information

NPI Number	:	1225973571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEWIS STEPHEN RICE-BOYD BSN, RN

Provider Business Mailing Address
First Line	:	6 HUGUENOT AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7785
Country	:	US
Telephone Number	:	540-761-5410
Fax Number	:

Provider Business Practice Location Address
First Line	:	3227 WALTER DR STE B
Second Line	:
City	:	JOHNS ISLAND
State	:	SC
Zip	:	29455-8171
Country	:	US
Telephone Number	:	843-872-5454
Fax Number	:

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

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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