Individual
DAVID M RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 STEVEN B TANGER BLVD, COMMERCE, GA 30529-3574
(706) 335-4630
(706) 335-4630
Mailing address
311 STEVEN B TANGER BLVD, COMMERCE, GA 30529-3574
(706) 335-4630
(706) 335-4630
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
520
GA
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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