Individual
MRS. SYLVIA RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6056
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6056
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
GA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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