Search › Georgia › 111N00000X
Diane Russo, D.C
NPI 1871640490 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1475 Terrell Mill Rd Se
Suite 108
Marietta, GA 30067 - Phone
- (770) 984-2813
- Fax
- (770) 984-9416
- Organisation at this address
- Metro Healthcare Solutions Llc
Georgia Pain Management Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- 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