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DR. JEFFERY A. RUSSELL DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1427122951

Individual Registrant:
DR. JEFFERY A. RUSSELL DC
Gender: M
Sole Proprietor

Location and contact information for practice:
624 N MAIN AVE  PINE MOUNTAIN, GA 31822-2403 US
Tel: 706-663-8801  Fax: --

Contact information for business:
624 N MAIN AVE P.O. BOX 1690 PINE MOUNTAIN, GA 31822-2403 US
Tel: 706-663-8801  Fax: --

Registration Information:
NPI: 1427122951
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GACHIR007961

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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