Russell, Jill Annette
Russell, Jill Annette is an sole proprietor health care provider with primary practice located at 7810 Mcginnis Ferry Rd Suite #108, Suwanee GA 30024-1633. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Russell, Jill Annette can be contacted via phone (770) 622-9446.Contact Information
Primary practice address
7810 Mcginnis Ferry Rd Suite #108
Suwanee GA 30024-1633
Phone: (770) 622-9446
Fax: (770) 622-9440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 053148 | Georgia |
Profile Details
| NPI number | 1457370223 |
|---|---|
| LBN Legal business name | Russell, Jill Annette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 24th, 2009 - about 16 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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