Search › Georgia › 213ES0103X
Bryan Russell, DPM FACFAS
NPI 1700854825 · on the registry since 2006
Practice
- Address
- 55 Whitcher St
Ste. 450
Marietta, GA 30060 - Phone
- (770) 590-4188
- Fax
- (770) 590-4189
- Organisation at this address
- Georgia Pain Consultants
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 559 Vincent St, Peterson Afb, CO
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Also registered as
- 213E00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia