Individual
MR. JUSTIN COLE RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 PADUCAH DR STE B, NEW MARTINSVILLE, WV 26155-2710
(304) 815-0050
(304) 815-0051
Mailing address
208 UNIVERSITY DR, WEST LIBERTY, WV 26074-1082
(304) 336-5098
(304) 336-8868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
01/03/2024
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