Individual
MRS. CAITLIN CAROLINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(678) 986-6732
Mailing address
1300 RIDENOUR BLVD NW STE 300, KENNESAW, GA 30152-4402
(770) 702-1806
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN207504
GA
Other
Enumeration date
06/08/2016
Last updated
08/12/2025
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