Individual
DR. RUSSELL DARREN LENDERMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3204 SWEET MEADOW CT, GROVETOWN, GA 30813-8108
(501) 605-6186
Mailing address
3204 SWEET MEADOW CT, GROVETOWN, GA 30813-8108
(501) 605-6186
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
003122
GA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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