MEDICARE: MARGARET ANN RISO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	86165	GA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	86165	GA

General Provider Information

NPI Number	:	1417337320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ANN RISO M.D.

Provider Business Mailing Address
First Line	:	601 BROAD ST SE STE B
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3718
Country	:	US
Telephone Number	:	678-971-4167
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 BROAD ST SE STE B
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3718
Country	:	US
Telephone Number	:	678-971-4167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2015
Last Update Date	:	04/22/2025

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