Individual
DR. MARIA CITARELLA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, EMORY HOSPITAL MIDTOWN, DEPT OF SURGERY, 9TH FLOOR, ATLANTA, GA 30308-2208
(404) 313-3768
Mailing address
550 PEACHTREE ST NE, EMORY HOSPITAL MIDTOWN, DEPT OF SURGERY, 9TH FLOOR, ATLANTA, GA 30308-2208
(404) 313-3768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
057663
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216563101
—
TX
Enumeration date
01/31/2008
Last updated
08/07/2012
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