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Organization
RICE & LAKE UROLOGY LLP
Active
Organization
RICE & LAKE UROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL TED RICE MD (OWNER/MD)
(706) 323-0990
Entity
Organization
Contact information
Practice address
1900 10TH AVENUE, SUITE 310, COLUMBUS, GA 31904
(706) 323-0990
(706) 320-0209
Mailing address
PO BOX 4539, COLUMBUS, GA 31914
(706) 323-0990
(706) 320-0209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN224459
GA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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