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Era Russell, HAIRLOSSSPECIALIST
Prosthetist in Lagrange, Georgia
NPI 1447604178

Era Russell is a Prosthetist based in Lagrange, GA. Era Russell practices in Lagrange, GA and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Era Russell is 1447604178 and holds a License No. (Georgia).

The current practice location address for Era Russell is 2170 W Point Rd, Lagrange, GA and can be reached out via phone at 762-323-7874.

Location: 2170 W Point Rd, Lagrange, GA, 30240-4007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447604178
Provider Name
Era Russell
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
2170 W Point Rd, Lagrange, GA, 30240-4007
Phone Number
762-323-7874
Fax Number
Provider Enumeration Date
04/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7708 05 GA
institution
Provider Business Practice Location Address Details
Address
2170 W Point Rd
City
Lagrange
State
Georgia
Zip
30240-4007
Phone Number
762-323-7874
Fax Number
person
Provider Business Mailing Address Details
Address
2170 W Point Rd
City
Lagrange
State
Georgia
Zip
30240-4007
Phone Number
762-323-7874
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
224P00000X (Georgia)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
(Georgia)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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