Individual provider · Type 1 NPI
Veronica Russ
Medical Physician Assistant · Douglas, GA
NPI number
1780320937
Active
Practice location
117 Bryan St W
Douglas, GA 31533-5201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 004245 (GA) |
Medical Physician Assistant: Definition to come...
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About NPI 1780320937
Veronica Russ's National Provider Identifier is 1780320937, issued on May 10, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Douglas, GA. The record was last updated on Mar 7, 2023.