Individual
RACHEL MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
856 MCDUFFIE CIR, DOUGLASVILLE, GA 30134-3759
(770) 626-2564
Mailing address
856 MCDUFFIE CIR, DOUGLASVILLE, GA 30134-3759
(770) 626-2564
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN282299
GA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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