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Individual

DR. JAMES D RUSSELL II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
630 HILLCREST RD NW STE 400, LILBURN, GA 30047-6893
(678) 318-1730
(470) 422-7134
Mailing address
630 HILLCREST RD NW STE 400, LILBURN, GA 30047-6893
(678) 318-1730
(470) 422-7134

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY2884
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
549472283A
GA
Enumeration date
07/24/2007
Last updated
04/22/2025
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