Organization
RICE FAMILY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE R RICE CFNP (OWNER/NURSE PRACTITIONER)
(662) 628-5116
Entity
Organization
Contact information
Practice address
120 BURKE CALHOUN CITY RD, CALHOUN CITY, MS 38916-9690
(662) 628-5116
(662) 623-5117
Mailing address
120 BURKE CALHOUN CITY RD, PO BOX 1210, CALHOUN CITY, MS 38916-9690
(662) 628-5116
(662) 628-5117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857851
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02072547
—
MS
01
—
1508995499
IND NPI
MS
Enumeration date
02/21/2012
Last updated
02/21/2012
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