Individual
MELISSA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.- C
Contact information
Practice address
225 E WOOD ST, SPARTANBURG, SC 29303-3050
(864) 583-4420
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
684
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042PA
—
SC
01
—
196546
MEDCOST
SC
Enumeration date
05/10/2006
Last updated
01/10/2022
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