Individual
MICHAEL J RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
59949
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
59949
GA
207RI0011X
Interventional Cardiology Physician
59949
GA
207UN0901X
Nuclear Cardiology Physician
59949
GA
207UN0902X
Nuclear Imaging & Therapy Physician
59949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
458596502O
—
GA
05
—
458596502P
—
GA
05
—
458596502R
—
GA
05
—
458596502S
—
GA
Enumeration date
01/02/2008
Last updated
10/10/2019
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