Individual
DR. ROBERT KOJI RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5002 WATERS AVE, SAVANNAH, GA 31404-6226
(912) 355-0070
Mailing address
5002 WATERS AVE, SAVANNAH, GA 31404-6226
(912) 355-0070
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
0101201144
VA
2084P0800X
Psychiatry Physician
Primary
83989
GA
2084P0804X
Child & Adolescent Psychiatry Physician
0102201144
VA
Other
Enumeration date
11/07/2005
Last updated
08/31/2022
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