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Individual

MR. THERON J. RICE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
500 NORTHCREST DRIVE, SUITE 521, SPRINGFIELD, TN 37172-4066
(615) 391-4545
(615) 391-4546
Mailing address
302 OLD LEBANON DIRT RD, HERMITAGE, TN 37076-2386
(615) 391-4545
(615) 391-4546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1555
TN

Other

Enumeration date
11/13/2007
Last updated
11/27/2024
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