Individual provider · Type 1 NPI

Richard Edwin Waller, MD

Family Medicine Physician · Marks, MS

NPI number 1821001041 Active

Practice location

1024 Martin Luther King Drive
Marks, MS 38646-0289

Fax (662) 326-2555

Mailing address

PO Box 289
Marks, MS 38646-0289

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X07067 (MS)

Family Medicine Physician: 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.

About NPI 1821001041

Richard Edwin Waller, MD's National Provider Identifier is 1821001041, issued on Aug 15, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Marks, MS. The record was last updated on Mar 1, 2017.