Individual
ELOIS RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 CLUB VILLA CT STE 3, KATHLEEN, GA 31047-5468
(478) 218-9031
(478) 218-0203
Mailing address
301 CLUB VILLA CT STE 3, KATHLEEN, GA 31047-5468
(478) 218-9031
(478) 218-0203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN046518
GA
Other
Enumeration date
12/05/2017
Last updated
12/30/2024
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