LONNIE NICHOLAS RUSSELL

MARIETTA, GA
NPI1053873612
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  88192)
Enumeration Date2019-04-03
Last Update Date2023-09-27
Business Address
LONNIE NICHOLAS RUSSELL MD
660 CHEROKEE ST NE STE 100
MARIETTA, GA 30060-8930
Phone number: 678-797-8201
Mailing Address
LONNIE NICHOLAS RUSSELL MD
450 14TH ST NW
ATLANTA, GA 30318-7963
Phone number: 843-291-2836