Trevena, Russell
Trevena, Russell is an individual health care provider with primary practice located at 1510 Hudson Bridge Rd , Stockbridge GA 30281-5020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Trevena, Russell can be contacted via phone (404) 785-8660.Contact Information
Primary practice address
1510 Hudson Bridge Rd
Stockbridge GA 30281-5020
Phone: (404) 785-8660
Fax: (404) 785-8730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 39251 | Georgia |
Profile Details
| NPI number | 1679505762 |
|---|---|
| LBN Legal business name | Trevena, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jun 6th, 2022 - about 2 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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