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Individual

CORY JAY RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
979 E 3RD ST STE C830, CHATTANOOGA, TN 37403
(423) 778-9001
(423) 778-4692
Mailing address
979 E 3RD ST STE C830, CHATTANOOGA, TN 37403-3325
(423) 778-9001
(423) 778-4692

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
58596
TN
2084V0102X
Vascular Neurology Physician
Primary
58596
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
58596
MEDICAL LICENSE
TN
Enumeration date
04/03/2014
Last updated
05/06/2019
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