Russell, Abigail

Russell, Abigail is an individual health care provider with primary practice located at 142 Ga State Highway 138 , Monroe GA 30655. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Russell, Abigail can be contacted via phone (770) 207-1137.

Contact Information

Primary practice address
142 Ga State Highway 138 Monroe GA 30655
Fax:
Website:

Health care specialties

Profile Details

NPI number 1750491817
LBN Legal business name Russell, Abigail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750491817 NPPES
Georgia Other PTA001474 LICENSE#

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