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Search › Georgia › 171100000X

Susan Russell, PHD,THD, L.AC.,LMSW

NPI 1558644617 · on the registry since 2011 · sole proprietor

Practice

Address
4343 Shallowford Rd
Suite H-5
Marietta, GA 30062
Phone
(770) 552-4155
Fax
(770) 552-4275
Organisation at this address
Mary Baer, Llc
Jmj Endodontics
Lisa B Story, Llc
Lara Albanese, Llc
Thomas Eye Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
171100000X
171100000X
Also registered as
103TA0400X
103TF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-26

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