Individual
PAMELA MECHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13 RAY RD, COVINGTON, GA 30014-5954
(470) 456-2143
Mailing address
13 RAY RD, COVINGTON, GA 30014-5954
(470) 456-2143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
251B00000X
Case Management Agency
—
GA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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