Individual
RUSSELL S THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-5425
(770) 205-2804
Mailing address
3525 PIEDMONT RD NE, BLDG 7-601, ATLANTA, GA 30305-1578
(404) 842-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051191
GA
Other
Enumeration date
07/02/2006
Last updated
02/26/2021
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