Individual
MR. EASTON MARTIN RICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DHSC, MPAS, PA-C
Contact information
Practice address
1704 BATTLEGROUND AVE, GREENSBORO, NC 27408-7905
(336) 373-0678
Mailing address
30 TANNER WOODS LN, GREENSBORO, NC 27410-9758
(864) 554-7565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02312
NC
363A00000X
Physician Assistant
A493
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283PA
—
SC
Enumeration date
06/13/2005
Last updated
10/16/2014
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