Search › Georgia › 235Z00000X
Tyren Russell
NPI 1043831506 · on the registry since 2020
Practice
- Address
- 2144 Peachtree Rd Nw Apt 621
Atlanta, GA 30309 - Phone
- (803) 378-2592
- Organisation at this address
- Vitality Pediatric Therapy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Sex
- Female
- Record last updated
- 2020-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia