NICKLAUS TRENT RICE

CONYERS, GA
NPI1508155268
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery
(Licence: GA  GA72427)
Additional Taxonomies207VG0400X Obstetrics & Gynecology Gynecology
(Licence: TN  MD0000046779)
Enumeration Date2011-04-04
Last Update Date2019-11-13
Business Address
NICKLAUS TRENT RICE M.D.
2750 OWENS DR
CONYERS, GA 30094
Phone number: 678-413-4644
Mailing Address
NICKLAUS TRENT RICE M.D.
2750 OWENS RD SW
CONYERS, GA 30094-3991
Phone number: 678-413-4644