MEDICARE: DR. ANTONIO RICE DC, CFMP

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	111N00000X	Chiropractor	5476	NC

General Provider Information

NPI Number	:	1437809118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO RICE DC, CFMP

Provider Business Mailing Address
First Line	:	4642 HENDRIX CT
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-8519
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4642 HENDRIX CT
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-8519
Country	:	US
Telephone Number	:	864-710-2433
Fax Number	:

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

Provider Enumeration Date	:	03/25/2022
Last Update Date	:	03/25/2022

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