Individual
JAY T RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3708 NORTHSIDE DRIVE, MACON, GA 31210
(478) 254-5303
(478) 254-5324
Mailing address
3708 NORTHSIDE DRIVE, MACON, GA 31210
(478) 254-5303
(478) 254-5324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001756
GA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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