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1679505762
RUSSELL TREVENA
STOCKBRIDGE, GA
NPI
1679505762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: GA 39251)
Enumeration Date
2006-07-07
Last Update Date
2022-06-06
Business Address
RUSSELL TREVENA MD
1510 HUDSON BRIDGE RD
STOCKBRIDGE, GA 30281-5020
Phone number: 404-785-8660
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Mailing Address
RUSSELL TREVENA MD
1510 HUDSON BRIDGE RD
STOCKBRIDGE, GA 30281-5020
Phone number: 404-785-8660
Copy
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