Organization
MJRA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA J RIVELL MD (OWNER)
(706) 869-0501
Entity
Organization
Contact information
Practice address
3675 J DEWEY GRAY CR STE 300, AUGUSTA, GA 30909
(706) 869-0501
(706) 447-7111
Mailing address
3675 J DEWEY GRAY CR STE 300, AUGUSTA, GA 30909
(706) 869-0501
(706) 447-7111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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