Individual
MR. RUSSELL JERMAIN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
124 S MAIN ST STE 218, JONESBORO, GA 30236-3599
(678) 215-8705
Mailing address
4732 HUNTSMAN BND, DECATUR, GA 30034-2505
(404) 447-1686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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