Bryan S Russell is a Podiatrist in Marietta, Georgia. Bryan S Russell practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bryan S Russell is 1700854825. The last update date is 2020-10-30.
Bryan S Russell's current location address is 55 Whitcher St, Marietta, Georgia. You can contact this provider via phone number 7705904188 and fax number 7705904189. The mailing address for Bryan S Russell is 55 Whitcher St, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan S Russell |
|---|---|
| Address | 55 Whitcher St, Marietta, Georgia |
| Phone Number | 7705904188 |
| Fax Number | 7705904189 |
| Sole Proprietor | N |
| Credentials | DPM FACFAS |
NPI Number Detail
| NPI Number | 1700854825 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | 55 Whitcher St |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 30060 |
| Phone Number | 7705904188 |
| Fax Number | 7705904189 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | POD001261 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0003150721C | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bryan S Russell by the Centers for Medicare & Medicaid Services?
The Bryan S Russell has been assigned the NPI (National Provider Identifier) 1700854825. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bryan S Russell is physically located?
The Bryan S Russell is situated at the following address: 55 Whitcher St, Marietta, GA 30060.
What is Bryan S Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryan S Russell's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
On what date did the Bryan S Russell receive its 1700854825 assignment from the Centers for Medicare & Medicaid Services?
The Bryan S Russell was assigned its 1700854825 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information regarding Bryan S Russell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bryan S Russell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-10-30.