Individual
CHARLES D. RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2827 LYNDHURST AVE STE 204, WINSTON SALEM, NC 27103-4145
(336) 842-5477
Mailing address
2827 LYNDHURST AVE STE 204, WINSTON SALEM, NC 27103-4145
(336) 842-5477
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25524
NC
207W00000X
Ophthalmology Physician
4301069798
MI
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
25524
NC
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
4301069798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25524
LICENSE
NC
01
—
CR069798
STATE LICENSE NUMBER
MI
Enumeration date
11/30/2005
Last updated
09/04/2025
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