Russell, Thomas

Russell, Thomas is an individual health care provider with primary practice located at 8800 Roswell Rd Ste A135 , Sandy Springs GA 30350-1826. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Russell, Thomas can be contacted via phone (404) 682-1923.

Contact Information

Primary practice address

8800 Roswell Rd Ste A135 Sandy Springs GA 30350-1826

Phone: (404) 682-1923

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Professional	101YP2500X	672	Georgia

Profile Details

NPI number	1205354396
LBN Legal business name	Russell, Thomas
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Sep 8th, 2017
Last updated	Sep 8th, 2017 - about 9 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1205354396	NPPES
Georgia	Other	672	LICENSE

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