Individual provider · Type 1 NPI

Bryan S. Russell, DPM FACFAS

Foot & Ankle Surgery Podiatrist · Marietta, GA

NPI number 1700854825 Active

Practice location

55 Whitcher St, Ste. 450
Marietta, GA 30060

Call (770) 590-4188 Map

Fax (770) 590-4189

Mailing address

559 Vincent St, Attn: 21 Mdos/sgof - Ortho
Peterson Afb, CO 80914-1541

Other practice locations

  • 559 Vincent St, Attn: 21 Mdos/sgof - Ortho, Peterson Afb, CO 80914-1541 · (719) 526-2273

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XPOD001261 (GA)
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD001261 (GA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1700854825

Bryan S. Russell, DPM FACFAS's National Provider Identifier is 1700854825, issued on Mar 14, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Marietta, GA. The record was last updated on Oct 30, 2020.