Individual
RUSSELL MARLOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 WASHINGTON HWY, UNION POINT, GA 30669-2821
(706) 207-8185
Mailing address
PO BOX 801, WATKINSVILLE, GA 30677-0018
(706) 207-8185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003301
GA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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