Individual
DR. JILL ANNETTE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7810 MCGINNIS FERRY RD, SUITE #108, SUWANEE, GA 30024-1633
(770) 622-9446
(770) 622-9440
Mailing address
7810 MCGINNIS FERRY RD, SUITE # 108, SUWANEE, GA 30024-1633
(770) 622-9446
(770) 622-9440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053148
GA
Other
Enumeration date
07/19/2006
Last updated
09/24/2009
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