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Tierah Russell

NPI 1730747817 · on the registry since 2019

Practice

Address
2911 Leisure Woods Ln
Decatur, GA 30034
Phone
(404) 834-1735

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
171WH0202X
172A00000X
174H00000X
175L00000X
372500000X
376G00000X
376J00000X
376K00000X
Sex
Female
Record last updated
2019-06-03

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