Russell C Maxa M.D.

NPI 1699784785 - Internal Medicine - 207R00000X

NPI Details
NPI 1699784785
Gender Male
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5670 PEACHTREE DUNWOODY RD NE
SUITE 1200
ATLANTA GA, 30342-1699, US
Phone (404) 255-9100
Fax (404) 257-7171
Business Location
5670 PEACHTREE DUNWOODY RD NE
SUITE 1200
ATLANTA GA, 30342-1699, US
Phone (404) 255-9100
Fax (404) 257-7171
Toxanomy
Taxonomy Code 207R00000X
License State Georgia
License Number 054816
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According to our database, Russell C Maxa M.D. NPI is 1699784785, taxonomy code is 207R00000X and license number is 054816, license state is located at Georgia. Russell C Maxa M.D. physically located at 5670 Peachtree Dunwoody Rd Ne, Atlanta GA, 30342-1699. NPI Number Russell C Maxa M.D. has the Individual type.

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1699784785 NPI number is provided on an as is basis without warranty of any kind. 1699784785 is maintained by the National Plan & Provider Enumeration System. The contents of Russell C Maxa M.D. are for informational purposes only.