Individual
MICHAEL H. RIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4035 ELNORA DR, MACON, GA 31210-1822
(478) 731-4095
(478) 633-5261
Mailing address
3351 NORTHSIDE DR, MACON, GA 31210-2587
(478) 201-6629
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
020806
GA
2084N0600X
Clinical Neurophysiology Physician
Primary
020806
GA
Other
Enumeration date
08/30/2006
Last updated
03/18/2025
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