Individual
JOSHUA SANDERS DIMMIG-RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
10680 MEDLOCK BRIDGE RD STE 102, JOHNS CREEK, GA 30097-8420
(770) 389-9116
Mailing address
1587 RED FOX RUN SW, LILBURN, GA 30047-2465
(716) 912-5284
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232569
GA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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