Individual
RUSSELL JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
(404) 351-5983
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2547
GA
Other
Enumeration date
09/10/2013
Last updated
08/30/2016
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