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1013195825
GARTH RUSSO
ATHENS, GA
NPI
1013195825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 029771)
Enumeration Date
2008-02-04
Last Update Date
2009-11-03
Business Address
DR. GARTH RUSSO MD
55 CARLTON ST
ATHENS, GA 30602-1526
Phone number: 706-542-8621
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Mailing Address
DR. GARTH RUSSO MD
55 CARLTON ST
ATHENS, GA 30602-1526
Phone number: 706-542-8621
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