Organization
RUSSELL A FRIEDMAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL A FRIEDMAN DC (PRESIDENT)
(770) 641-9797
Entity
Organization
Contact information
Practice address
8800 ROSWELL RD, SUITE A235, SANDY SPRINGS, GA 30350-1826
(770) 641-9797
(770) 641-9771
Mailing address
8800 ROSWELL RD, SUITE A235, SANDY SPRINGS, GA 30350-1826
(770) 641-9797
(770) 641-9771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005683
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5597950001
DMERC SUPPLIER
GA
Enumeration date
09/21/2006
Last updated
10/04/2012
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