Organization
JAMES M RISER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MATTHEW RISER MD (OWNER)
(601) 798-5798
Entity
Organization
Contact information
Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-5798
(601) 798-5914
Mailing address
PO BOX 1038, PICAYUNE, MS 39466-1038
(601) 798-5798
(601) 798-5914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09589
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9016108
—
MS
Enumeration date
03/14/2007
Last updated
04/18/2008
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