Provider Demographics
NPI:1548344310
Name:RICE, MELISSA J (SOCIAL WORKER)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:J
Last Name:RICE
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5145 DOUBLETREE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9427
Mailing Address - Country:US
Mailing Address - Phone:770-889-6817
Mailing Address - Fax:770-887-0089
Practice Address - Street 1:5145 DOUBLETREE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9427
Practice Address - Country:US
Practice Address - Phone:770-889-6817
Practice Address - Fax:770-887-0089
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator