Chambless, Russell
Chambless, Russell is an sole proprietor health care provider with primary practice located at 3353 Mercer University Dr , Macon GA 31204-5082. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Chambless, Russell can be contacted via phone (478) 745-1515.Contact Information
Primary practice address
3353 Mercer University Dr
Macon GA 31204-5082
Phone: (478) 745-1515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001097 | Georgia |
Profile Details
| NPI number | 1396968566 |
|---|---|
| LBN Legal business name | Chambless, Russell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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