Individual ProviderMaristella RileyFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address886 Hampton Rd, Mcdonough, GA 30253-6514(678) 432-1119PECOS EnrollmentBased on the most recent information from CMS, provider Maristella Riley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1104819846Provider TypeIndividualFull NameRiley, MaristellaTitleDr.CredentialMDGenderFemaleEnumeration Date8/29/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address886 Hampton Rd, Mcdonough, GA 30253-6514Phone(678) 432-1119Fax(678) 432-1169Mailing LocationMailing Address886 Hampton Rd, Mcdonough, GA 30253-6514Phone(678) 432-1119Fax(678) 432-1169Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense040986Georgia