Individual
CALLAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1000 JOHNSON FERRY RD NE, CENTER FOR PERINATAL MEDICINE, ATLANTA, GA 30342
(404) 851-6553
Mailing address
9120 WOODHAVEN WAY, MCDONOUGH, GA 30253-8613
(678) 763-7242
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
580
GA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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