Organization
RIVER MEDICAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L HERZOG SR. MD (PRESIDENT)
(662) 335-0183
Entity
Organization
Contact information
Practice address
2119 HIGHWAY 82 E, GREENVILLE, MS 38703-6010
(662) 390-8992
Mailing address
PO BOX 5368, GREENVILLE, MS 38704-5368
(662) 390-8992
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
05/20/2021
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