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1053873612
LONNIE NICHOLAS RUSSELL
MARIETTA, GA
NPI
1053873612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 88192)
Enumeration Date
2019-04-03
Last Update Date
2023-09-27
Business Address
LONNIE NICHOLAS RUSSELL MD
660 CHEROKEE ST NE STE 100
MARIETTA, GA 30060-8930
Phone number: 678-797-8201
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Mailing Address
LONNIE NICHOLAS RUSSELL MD
450 14TH ST NW
ATLANTA, GA 30318-7963
Phone number: 843-291-2836
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