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1528136900
KIM L RUSSELL
ATLANTA, GA
NPI
1528136900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 002298)
Enumeration Date
2006-12-01
Last Update Date
2022-01-06
Business Address
-- KIM L RUSSELL PAC
2525 CUMBERLAND PKWY SE DEPARTMENT OF DERMATOLOGY
ATLANTA, GA 30339-3915
Phone number: 770-431-4330
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Mailing Address
-- KIM L RUSSELL PAC
3495 PIEDMONT RD NE NINE PIEDMONT CENTER
ATLANTA, GA 30305-1717
Phone number: 404-364-7000
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