| NPI | 1649536749 |
|---|---|
| Doing Business As | RUSSELL MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BRANDEE NICOLE URRUTIA President / Owner 770-771-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2022-07-14 |