Individual ProviderEaston Martin RicePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1704 Battleground Ave, Greensboro, NC 27408-7905(336) 373-0678(864) 554-7565PECOS EnrollmentBased on the most recent information from CMS, provider Easton Martin Rice does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1518961937Provider TypeIndividualFull NameRice, Easton MartinTitleMr.CredentialDHSC, MPAS, PA-CGenderMaleSole ProprietorNoEnumeration Date6/13/2005Last Updated10/16/2014Contact InformationPractice LocationPractice Address1704 Battleground Ave, Greensboro, NC 27408-7905Phone(336) 373-0678FaxUnlisted FaxMailing LocationMailing Address30 Tanner Woods Ln, Greensboro, NC 27410-9758Phone(864) 554-7565FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-02312North CarolinaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseA493South CarolinaProvider IdentifiersIDDescriptionIssuerID0283PADescriptionMedicaidIssuerUnlistedSouth Carolina