Organization
RUSSELL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN S RUSSELL MS, RD (MANAGER)
(404) 314-4014
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD STE D125, MARIETTA, GA 30068-2113
(404) 314-4014
Mailing address
6275 OLD HICKORY PT, ATLANTA, GA 30328-3618
(404) 314-4014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/24/2024
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