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Bryan S Russell, DPMFACFAS
Foot & Ankle Surgery Podiatrist in Marietta, Georgia
NPI 1700854825

Bryan S Russell is a Foot & Ankle Surgery Podiatrist based in Peterson Afb, GA and is specialized in Foot & Ankle Surgery. Bryan S Russell practices in Marietta, GA and has the professional credentials of DPMFACFAS. The NPI Number for Bryan S Russell is 1700854825 and holds a License No. POD001261 (Georgia).

The current practice location address for Bryan S Russell is 55 Whitcher St, Marietta, GA and can be reached out via phone at 770-590-4188 and via fax at 770-590-4189.

Location: 55 Whitcher St, Marietta, GA, 80914-1541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700854825
Provider Name
Bryan S Russell
Credential
DPMFACFAS
Provider Entity Type
Individual
Gender
Male
Address
55 Whitcher St, Marietta, GA, 80914-1541
Phone Number
770-590-4188
Fax Number
770-590-4189
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0003150721C 05 GA
institution
Provider Business Practice Location Address Details
Address
55 Whitcher St
City
Marietta
State
Georgia
Zip
30060
Phone Number
770-590-4188
Fax Number
770-590-4189
person
Provider Business Mailing Address Details
Address
55 Whitcher St
City
Marietta
State
Georgia
Zip
30060
Phone Number
770-590-4188
Fax Number
770-590-4189
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD001261 (Georgia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
POD001261 (Georgia)
Definition
Definition to come...
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