Kelly Russin, PA

NPI 1780745554 · on the registry since 2006

Practice

Address: 6325 Shannon Pkwy
Suite D
Union City, GA 30291
Phone: (770) 964-1400
Fax: (770) 306-1343
Organisation at this address: Southside Medical Care
Southside Medical Care Ii Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-07-26

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