Individual provider · Type 1 NPI

Diane Kay Russo, DC

Chiropractor · Marietta, GA

NPI number 1871640490 Active

Practice location

1475 Terrell Mill Rd SE, Suite 108
Marietta, GA 30067-6049

Call (770) 984-2813 Map

Fax (770) 984-9416

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIR005940 (GA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1871640490

Diane Kay Russo, DC's National Provider Identifier is 1871640490, issued on Jan 4, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 8, 2007.