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Richard Edwin Waller, MD
Family Medicine Physician in Marks, Mississippi
NPI 1821001041

Richard Edwin Waller is a Family Medicine Physician based in Marks, MS. Richard Edwin Waller practices in Marks, MS and has the professional credentials of MD. The NPI Number for Richard Edwin Waller is 1821001041 and holds a License No. 07067 (Mississippi).

The current practice location address for Richard Edwin Waller is 1024 Martin Luther King Drive, Marks, MS and can be reached out via phone at 662-326-3502 and via fax at 662-326-2555.

Location: 1024 Martin Luther King Drive, Marks, MS, 38646-0289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821001041
Provider Name
Richard Edwin Waller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1024 Martin Luther King Drive, Marks, MS, 38646-0289
Phone Number
662-326-3502
Fax Number
662-326-2555
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00115098 05 MS
institution
Provider Business Practice Location Address Details
Address
1024 Martin Luther King Drive
City
Marks
State
Mississippi
Zip
38646-0289
Phone Number
662-326-3502
Fax Number
662-326-2555
person
Provider Business Mailing Address Details
Address
1024 Martin Luther King Drive
City
Marks
State
Mississippi
Zip
38646-0289
Phone Number
662-326-3502
Fax Number
662-326-2555
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
07067 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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