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Russell Mitchell

Emergency Medicine in Roswell, GA. Individual provider (NPI-1).

NPI number1750481925
StatusActive
Last updated in NPPESDec 15, 2008

Details

NPI
1750481925
Entity type
Individual (NPI-1)
Name
Russell Mitchell
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2006
Last updated
Dec 15, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine043431GAYes

Practice location

3000 Hospital Blvd
Roswell, GA 30076-4915

Phone 770-751-2567

Mailing address

5665 New Northside Dr Nw
Atlanta, GA 30328-5831

Phone 770-874-5400

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