Individual provider · Type 1 NPI
Rosemarie Russo, DC
Chiropractor · Douglasville, GA
NPI number
1265519094
Active
Practice location
7193 Douglas Blvd Ste 101A
Douglasville, GA 30135-1540
Mailing address
5301 Slater Mill Cir
Douglasville, GA 30135-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR004944 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1265519094
Rosemarie Russo, DC's National Provider Identifier is 1265519094, issued on Nov 1, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Douglasville, GA. The record was last updated on Jul 8, 2007.