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Individual

MR. SPENCER RICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1220 CAROLINE ST NE STE A-230, ATLANTA, GA 30307-2749
(678) 710-3980
Mailing address
1068 PALAFOX DR NE, ATLANTA, GA 30324-4526
(918) 671-7098

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10147
GA
363A00000X
Physician Assistant
9112730
FL

Other

Enumeration date
11/04/2019
Last updated
10/13/2021
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