| Riser Medical Associates Pllc | |
|
2274 Highway 43 S Picayune MS 39466-8141 | |
| (601) 798-5798 | |
| Not Available |
| Full Name | Riser Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2274 Highway 43 S, Picayune, Mississippi |
| Authorized Official Name and Position | James Matthew Riser (OWNER) |
| Authorized Official Contact | 6013473252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riser Medical Associates Pllc Po Box 1038 Picayune MS 39466-1038 Ph: (601) 798-5798 | Riser Medical Associates Pllc 2274 Highway 43 S Picayune MS 39466-8141 Ph: (601) 798-5798 |
| NPI Number | 1609008424 |
|---|---|
| Provider Enumeration Date | 08/12/2009 |
| Last Update Date | 08/12/2009 |
| Medicare PECOS PAC ID | 7214068188 |
|---|---|
| Medicare Enrollment ID | O20100622000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609008424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 09589 (Mississippi) | Primary |
| Provider Name | James M Riser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639212541 PECOS PAC ID: 0941191639 Enrollment ID: I20040819001233 |
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