Individual
RUSSELL CONNELLY KIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
594 S COLUMBIA AVE STE 100, RINCON, GA 31326-9095
(912) 826-4057
(912) 826-2853
Mailing address
594 S COLUMBIA AVE STE 100, RINCON, GA 31326-9095
(912) 826-4057
(912) 826-2853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
79298
GA
Other
Enumeration date
05/06/2013
Last updated
04/03/2024
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