Individual
DR. DANIEL MICHAEL RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 E MURPHY ST, WALLACE, NC 28466-1946
(910) 285-4100
(910) 285-4766
Mailing address
PO BOX 968, WALLACE, NC 28466-0968
(910) 285-4100
(910) 285-4766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30463
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29856
MEDCOST
NC
01
—
71519
BCBS
NC
Enumeration date
07/20/2005
Last updated
05/04/2020
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