Individual
DR. LADENNA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
680 DOUTHIT FERRY RD, SUITE 103, CARTERSVILLE, GA 30120-4085
(770) 387-3161
(770) 387-3162
Mailing address
680 DOUTHIT FERRY RD, SUITE 103, CARTERSVILLE, GA 30120-4085
(770) 387-3161
(770) 387-3162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
GA6261
GA
Other
Enumeration date
12/05/2006
Last updated
07/09/2007
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