DR. Gabriel Russell, OD

NPI #1306323779 in Mcdonough, Georgia

Provider Information

NPI Number: 1306323779
Entity Type: Individual
Name: DR. Gabriel Russell, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 27, 2018
Last Updated: Mar 23, 2021

Practice Location

Address: 1044 AVALON PKWY
City: Mcdonough
State: Georgia
ZIP Code: 30253-7661
Phone: (770) 898-7078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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