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2274 Highway 43 S Picayune MS 39466-8141 | |
(601) 347-9024 | |
(601) 798-5914 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2274 Highway 43 S, Picayune, Mississippi |
Authorized Official Name and Position | Eduardo Benitez (DIRECTOR) |
Authorized Official Contact | 5044300025 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1514 Jefferson Hwy New Orleans LA 70121-2429 Ph: (504) 842-4000 | 2274 Highway 43 S Picayune MS 39466-8141 Ph: (601) 347-9024 |
NPI Number | 1821609009 |
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Provider Enumeration Date | 08/12/2020 |
Last Update Date | 09/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821609009 | NPI | - | NPPES |
09627255 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
James M Riser Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-5798 Fax: 601-798-5914 | |
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