Minor, Russell Blaine
Minor, Russell Blaine is an sole proprietor health care provider with primary practice located at 1432 Broadrick Dr , Dalton GA 30720-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Minor, Russell Blaine can be contacted via phone (706) 226-8990.Contact Information
Primary practice address
1432 Broadrick Dr
Dalton GA 30720-3009
Phone: (706) 226-8990
Fax: (706) 529-5313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 035479 | Georgia |
Profile Details
| NPI number | 1033162110 |
|---|---|
| LBN Legal business name | Minor, Russell Blaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Jan 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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