Garth Russo is a Family Medicine in Athens, Georgia. Garth Russo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Garth Russo is 1013195825. The last update date is 2009-11-03.
Garth Russo's current location address is 55 Carlton St, Athens, Georgia. You can contact this provider via phone number 7065428621 and fax number 7065830217. The mailing address for Garth Russo is 55 Carlton St, Athens, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Garth Russo |
|---|---|
| Address | 55 Carlton St, Athens, Georgia |
| Phone Number | 7065428621 |
| Fax Number | 7065830217 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013195825 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2009-11-03 |
Provider Mailing Address Detail
| Address | 55 Carlton St |
|---|---|
| City | Athens |
| State | Georgia (GA) |
| Post Code | 306021526 |
| Phone Number | 7065428621 |
| Fax Number | 7065830217 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 29771 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00349632C | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Garth Russo by the Centers for Medicare & Medicaid Services?
The Garth Russo has been issued the NPI (National Provider Identifier) 1013195825. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Garth Russo's facilities are situated?
The facilities of Garth Russo are physically located at the following address: 55 Carlton St, Athens, GA, 306021526.
What is Garth Russo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Garth Russo is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did Garth Russo receive its 1013195825 assignment?
The Garth Russo was assigned its 1013195825 on 2008-02-04, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Garth Russo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Garth Russo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-03.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC