Individual
MS. ALICIA LOUISE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
4701 LOG CABIN DR, MACON, GA 31204-6318
(478) 788-7667
(478) 788-7780
Mailing address
4701 LOG CABIN DR, MACON, GA 31204-6318
(478) 788-7667
(478) 788-7780
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002690
GA
Other
Enumeration date
07/04/2024
Last updated
07/04/2024
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