Individual provider · NPI-1
Sylvia Russ
Military Hospital · Fort Stewart, GA
NPI number1770980393
StatusActive
Last updated in NPPESNov 25, 2014
Details
- NPI
- 1770980393
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sylvia Russ
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2014
- Last updated
- Nov 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 286500000X | Military Hospital | – | GA | Yes |
Practice location
1061 Harmon AveFort Stewart, GA 31314-5641
Phone 912-435-6056
Mailing address
1061 Harmon AveFort Stewart, GA 31314-5641
Phone 912-435-6056
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