Individual
STEPHEN MITCHELL RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(770) 655-1715
(770) 655-1715
Mailing address
PO BOX 71363, ALBANY, GA 31708-1363
(770) 655-1715
(770) 655-1715
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73805
GA
207P00000X
Emergency Medicine Physician
LL34649
SC
207P00000X
Emergency Medicine Physician
MD28649
ME
207P00000X
Emergency Medicine Physician
V3523
TX
Other
Enumeration date
06/29/2012
Last updated
01/14/2026
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