Individual provider · Type 1 NPI

Kelly Russin, PA

Physician Assistant · Union City, GA

NPI number 1780745554 Active

Practice location

6325 Shannon Pkwy, Suite D
Union City, GA 30291-1538

Fax (770) 306-1343

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X004096 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

5 other providers at this address

About NPI 1780745554

Kelly Russin, PA's National Provider Identifier is 1780745554, issued on Dec 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Union City, GA. The record was last updated on Jul 26, 2012.