Individual
JONATHAN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1032 GRAND CONCOURSE ST, CHARLESTON, SC 29412-8828
(804) 731-2649
Mailing address
1032 GRAND CONCOURSE ST, CHARLESTON, SC 29412-8828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223552
SC
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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