Individual
DR. RUSS STEVEN KOTWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
6400 1ST INFANTRY BRIGADE LOOP, COLUMBUS, GA 31905-6499
(706) 545-4545
(706) 545-5762
Mailing address
6400 1ST INFANTRY BRIGADE LOOP, COLUMBUS, GA 31905-6499
(706) 545-4545
(706) 545-5762
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
045076
GA
2083A0100X
Aerospace Medicine Physician
Primary
045076
GA
Other
Enumeration date
10/23/2006
Last updated
09/11/2025
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