Individual
DR. ROSEMARIE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
7193 DOUGLAS BLVD STE 101A, DOUGLASVILLE, GA 30135-1540
(770) 942-9494
Mailing address
5301 SLATER MILL CIR, DOUGLASVILLE, GA 30135-1203
(770) 489-7704
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR004944
GA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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