DR. Garth Russo, MD

NPI #1013195825 in Athens, Georgia

Provider Information

NPI Number: 1013195825
Entity Type: Individual
Name: DR. Garth Russo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Feb 4, 2008
Last Updated: Nov 3, 2009

Practice Location

Address: 55 CARLTON ST
City: Athens
State: Georgia
ZIP Code: 30602-1526
Phone: (706) 542-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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