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1548657398
GARY DERUSSO
AUSTELL, GA
NPI
1548657398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: GA 83581)
Enumeration Date
2015-04-20
Last Update Date
2019-09-26
Business Address
Dr. GARY DERUSSO MD
3950 AUSTELL RD
AUSTELL, GA 30106
Phone number: 770-732-3585
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Mailing Address
Dr. GARY DERUSSO MD
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 770-732-3585
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