Search › Georgia › 111N00000X
Irving Russell, D.C
NPI 1912175530 · on the registry since 2008
Practice
- Address
- 1415 Barclay Cir Se
Marietta, GA 30060 - Phone
- (770) 426-2786
- Fax
- (770) 792-6113
- Organisation at this address
- Life University
Life University, Inc
Life Strategic Accelerator LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 2853 Candler Rd, Decatur, GA
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-08
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