Individual
DR. DUSTIN LEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4355 BROWNS BRIDGE ROAD, SUITE 1 & 2, CUMMING, GA 30041-4554
(770) 771-5050
(770) 771-5051
Mailing address
4355 BROWNS BRIDGE RD STE 1, CUMMING, GA 30041-4554
(770) 771-5050
(770) 771-5051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
066541
GA
207Q00000X
Family Medicine Physician
Primary
66541
GA
Other
Enumeration date
06/30/2008
Last updated
09/16/2022
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