Individual
MARIA J RIVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3651 WHEELER RD, AUGUSTA, GA 30909-6521
(706) 504-4651
(706) 504-4639
Mailing address
3614 J DEWEY GRAY CIR STE B, AUGUSTA, GA 30909-6512
(706) 504-4651
(706) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
029294
GA
2084P0800X
Psychiatry Physician
Primary
029294
GA
Other
Enumeration date
08/29/2006
Last updated
05/14/2021
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