Individual
DR. JOHN W RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 LINDSEY LN, SAINT MARYS, GA 31558-1600
(912) 729-1333
Mailing address
240 OXFORD LN, FAYETTEVILLE, GA 30215-5318
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27157
FL
Other
Enumeration date
06/18/2012
Last updated
03/17/2018
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