Individual
VANESSA EZABELLA RUSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1404 RIVER PL STE 501, BRASELTON, GA 30517-5600
(770) 212-3268
Mailing address
1404 RIVER PL, BRASELTON, GA 30517-5600
(770) 212-3268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11498
GA
Other
Enumeration date
09/25/2021
Last updated
01/02/2026
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