Richard Edwin Waller, MD
Richard Edwin Waller, MD is a Family Practice in Marks, Mississippi. Graduated from University of Mississippi School of Medicine in 1974, 52 years ago. Practices with Delta Medical Foundation, an 8-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 52
- Trained at
- University of Mississippi School of Medicine
- Licensed in
- MS
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1024 Martin Luther King DrMarks, MS 38646-0289
Phone: (662) 326-3502
Fax: (662) 326-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 07067 (MS) |
|---|
Record details
| NPI number | 1821001041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 15, 2006 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | Po Box 289, Marks, MS 38646-0289 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduated | 1974 (52 years in practice) |
| Group practice | Delta Medical Foundation — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Marks
-
Progressive Wound Care Specialty LLC
340 Getwell St, Marks, MS 38646-9785 · (662) 388-0700
-
Quitman County Hospital, LLC
1024 Martin Luther King Dr, Marks, MS 38646-1832 · (662) 326-3502
-
Warrington Clinic, PA
1022 Martin Luther King Drive Pob 289, Marks, MS 38646 · (662) 326-3500