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Individual

JOY R RUSMISELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-AA

Contact information

Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(866) 507-5244
(855) 851-4405
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
006283
GA
367H00000X
Anesthesiologist Assistant
Primary
6283
GA

Other

Enumeration date
10/21/2011
Last updated
01/30/2023
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