Organization
PICKFORD MEDICAL SERVICES, LLC.
Active
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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