RUSSELL DAVID HOLCOMB

CANTON, GA
NPI1477610475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: GA  003)
Additional Taxonomies224P00000X Prosthetist
(Licence: GA  003)
Enumeration Date2007-01-02
Last Update Date2007-07-08
Business Address
Mr. RUSSELL DAVID HOLCOMB LCPO
95 HICKORY SPRINGS IND DR
CANTON, GA 30115-7933
Phone number: 770-345-6899
Mailing Address
Mr. RUSSELL DAVID HOLCOMB LCPO
95 HICKORY SPRINGS INDUSTRIAL DR
CANTON, GA 30115-7933
Phone number: 770-345-6899
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