Search › Georgia › 111N00000X
Jeffery Russell, DC
NPI 1427122951 · on the registry since 2006 · sole proprietor
Practice
- Address
- 624 N Main Ave
Pine Mountain, GA 31822 - Phone
- (706) 663-8801
- Organisation at this address
- Pine Mountain Chiropractic Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-26
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