Search › Georgia › 363L00000X
Jessica Russell
NPI 1710521778 · on the registry since 2019 · sole proprietor
Practice
- Address
- 340 N Milledge Ave Ste B
Athens, GA 30601 - Phone
- (706) 548-0008
- Organisation at this address
- Clarke County Endoscopy Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163WN0800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-21
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