Individual
RUSSELL G ONEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 BASS RD STE 200A, MACON, GA 31210-1061
(478) 309-1212
(866) 493-2791
Mailing address
1760 BASS RD STE 200A, MACON, GA 31210-1061
(478) 309-1212
(866) 493-2791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
054410
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553222283A
—
GA
Enumeration date
08/18/2006
Last updated
04/18/2024
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