Individual
RUSSELL FARR SHEARER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2400 MT. ZION PARKWAY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236
(770) 603-3632
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003453
GA
Other
Enumeration date
12/08/2011
Last updated
04/12/2012
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