DR. Jill Annette Russell, M.D.

NPI #1457370223 in Suwanee, Georgia

Provider Information

NPI Number
1457370223
Entity Type
Individual
Name
DR. Jill Annette Russell, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Jul 19, 2006
Last Updated
Sep 24, 2009

Practice Location

Address
7810 MCGINNIS FERRY RD
Address 2
SUITE #108
State
Georgia
ZIP Code
30024-1633
Phone
(770) 622-9446

Specialties & Taxonomy Codes

Specialty
Family Medicine

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