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
Phone: (770) 207-1137
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750491817 | NPPES |
Georgia | Other | PTA001474 | LICENSE# |
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