Individual
RUSSELL HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD STE 125, ATLANTA, GA 30328-6773
(866) 587-9922
Mailing address
2128 CARTHAGE RD, TUCKER, GA 30084-6013
(678) 427-1403
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
003421
GA
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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