Russo, Andrea

Russo, Andrea is an individual health care provider with primary practice located at 655 7Th St Bldg 700 , Robins Afb GA 31098-2227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Russo, Andrea can be contacted via phone (478) 327-7850.

Contact Information

Primary practice address
655 7Th St Bldg 700 Robins Afb GA 31098-2227
Phone: (478) 327-7850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Georgia

Profile Details

NPI number 1043082183
LBN Legal business name Russo, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 2023 - about 3 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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