Organization
PICKFORD MEDICAL SERVICES, LLC.
Active
Other names
Pickford Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL RUSSELL M.D. (MEMBER)
(770) 622-9446
Entity
Organization
Contact information
Practice address
7810 MCGINNIS FERRY RD, SUITE #108, SUWANEE, GA 30024-1633
(770) 622-9446
Mailing address
7325 AMBERLEIGH WAY, DULUTH, GA 30097-1873
(404) 514-4139
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
Other
Enumeration date
09/24/2009
Last updated
07/21/2022
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