Individual
DR. RUSSELL CHAMBLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3353 MERCER UNIVERSITY DR, MACON, GA 31204-5082
(478) 745-1515
Mailing address
3353 MERCER UNIVERSITY DRIVE, MACON, GA 31204
(478) 745-1515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT001097
GA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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