JAMIE LADELLE RUSSELL

AUGUSTA, GA
NPI1588341929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-28
Last Update Date2023-06-28
Business Address
-- JAMIE LADELLE RUSSELL MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-6100
Mailing Address
-- JAMIE LADELLE RUSSELL MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: