Russell, Exenia

Russell, Exenia is an sole proprietor health care provider with primary practice located at 2501 Broadmoor Dr , Columbus GA 31903-3471. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Russell, Exenia can be contacted via phone (706) 662-4289.

Contact Information

Primary practice address
2501 Broadmoor Dr Columbus GA 31903-3471
Phone: (706) 662-4289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1275943706
LBN Legal business name Russell, Exenia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2014
Last updated May 6th, 2014 - about 11 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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