Individual provider · Type 1 NPI

Zachary Russell, ATC, LAT, CSCS, OTC

Sports Medicine (Orthopaedic Surgery) Physician · Watkinsville, GA

NPI number 1750753182 Active

Practice location

1305 Jennings Mill Road, Building 300, Suite 110
Watkinsville, GA 30677

Fax (706) 613-5880

Mailing address

5883 N Nevada Ave, 324
Colorado Springs, CO 80918-3507

Other practice locations

  • 2200 Bonforte Blvd, Pueblo, CO 81001-4901 · (678) 481-6519

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X0001416 (CO)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XAT003715 (GA)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1750753182

Zachary Russell, ATC, LAT, CSCS, OTC's National Provider Identifier is 1750753182, issued on Oct 26, 2015. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Watkinsville, GA. The record was last updated on Sep 27, 2019.