Individual
DR. REBECCA RIEVES WATERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT. OF EMPLOYEE/STUDENT HEALTH, JACKSON, MS 39216-4500
(601) 984-1185
(601) 984-1189
Mailing address
2500 N STATE ST, DEPT. OF EMPLOYEE/STUDENT HEALTH, JACKSON, MS 39216-4500
(601) 984-1185
(601) 984-1189
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11012
MS
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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