Organization
DR CHARLES A RICE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A RICE O.D. (OPTOMETRIST)
(731) 479-1334
Entity
Organization
Contact information
Practice address
207 W STATE LINE ST, SOUTH FULTON, TN 38257-2015
(731) 479-1334
(731) 479-1334
Mailing address
PO BOX 5200, SOUTH FULTON, TN 38257-0200
(731) 479-1334
(731) 479-1334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0662
TN
Other
Enumeration date
12/13/2007
Last updated
09/23/2009
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