Individual provider · Type 1 NPI

Russell Trevena, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Stockbridge, GA

NPI number 1679505762 Active

Practice location

1510 Hudson Bridge Rd
Stockbridge, GA 30281-5020

Fax (404) 785-8730

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X39251 (GA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

11 other providers at this address

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About NPI 1679505762

Russell Trevena, MD's National Provider Identifier is 1679505762, issued on Jul 7, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Stockbridge, GA. The record was last updated on Jun 6, 2022.