Individual
DR. RUSSELL D. SPRINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
270 HAWTHORNE AVE STE A, ATHENS, GA 30606-2881
(706) 543-3599
Mailing address
270 HAWTHORNE AVE, ATHENS, GA 30606-2881
(706) 543-3599
(706) 543-8681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
GA01619
GA
152W00000X
Optometrist
Primary
OPT001619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772098A
—
GA
05
—
00772098C
—
GA
05
—
1841593175
—
GA
Enumeration date
11/30/2005
Last updated
01/17/2022
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