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Gregg Russell, OD
NPI 1487656237 · on the registry since 2005
Practice
- Address
- 895 Canton Rd Ne
Building 100
Marietta, GA 30060 - Phone
- (770) 427-8111
- Fax
- (770) 499-1643
- Organisation at this address
- Marietta Eye Clinic, Pa
Marietta Eye Clinic, Pa
Marietta Eye Clinic, Pa
Marietta Eye Optical Inc
Aegis Group Practice LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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