Individual
KAZI SHAHRIAR RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8111 BALL GROUND HWY, BALL GROUND, GA 30107-3936
(770) 268-4011
(470) 251-6053
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116
(770) 955-4278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100836
GA
207R00000X
Internal Medicine Physician
5151015222APP21
MI
Other
Enumeration date
06/03/2021
Last updated
09/04/2025
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