Individual
DR. NICHOLAS MCCLEAN-RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19056 GREENBUSH ROAD, 19056 GREENBUSH ROAD, PARKSLEY, VA 23421-4632
(757) 442-3636
(757) 442-2319
Mailing address
19056 GREENBUSH ROAD, PARKSLEY, VA 23421
(757) 442-3636
(757) 442-2319
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101039168
VA
2084P0802X
Addiction Psychiatry Physician
Primary
0101039168
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086289
SENTARA/OPTIMA
VA
01
—
239419
ANTHEM
VA
01
—
C05541
MEDICARE GROUP
VA
Enumeration date
08/02/2005
Last updated
03/04/2008
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