Organization
RICE AND LAKE UROLOGY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL T RICE M.D. (OWNER/PARTNER)
(706) 323-0990
Entity
Organization
Contact information
Practice address
2000 10TH AVE SUITE 150, COLUMBUS, GA 31901
(706) 323-0990
(706) 320-0209
Mailing address
2000 10TH AVE SUITE 150, COLUMBUS, GA 31901
(706) 323-0990
(706) 320-0209
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084862824A
—
GA
05
—
529914410
—
AL
Enumeration date
01/04/2007
Last updated
08/23/2018
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