Organization
EMORY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETA RUSSLER FNP-BC (NURSE PRACTITIONER)
(404) 788-4396
Entity
Organization
Contact information
Practice address
791 WYLIE ST SE, 102, ATLANTA, GA 30316-7200
(404) 788-4396
Mailing address
791 WYLIE ST SE, 102, ATLANTA, GA 30316-7200
(404) 788-4396
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
RN240539
GA
Other
Enumeration date
02/12/2016
Last updated
03/14/2016
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