Mrs Caitlin Russell, MS, RD, LD - Dietitian in Marietta, GA

Mrs Caitlin Russell, MS, RD, LD is a Dietitian, Registered based in Marietta, Georgia. Mrs Caitlin Russell is licensed to practice in Georgia (license number LD003912) and her current practice location is 1000 Johnson Ferry Rd Ste D125, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 314-4014.

NPI number for Mrs Caitlin Russell is 1104173061 and her current mailing address is 6275 Old Hickory Pt, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104173061.

Contact Information

Mrs Caitlin Russell, MS, RD, LD
1000 Johnson Ferry Rd Ste D125,
Marietta, GA 30068-2113
(404) 314-4014
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Caitlin Russell
GenderFemale
SpecialityDietitian, Registered
Location1000 Johnson Ferry Rd Ste D125, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104173061
  • Provider Enumeration Date: 08/10/2012
  • Last Update Date: 10/24/2024

Medical Identifiers

Medical identifiers for Mrs Caitlin Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104173061NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD003912 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Caitlin Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Caitlin Russell, MS, RD, LD
6275 Old Hickory Pt,
Atlanta, GA 30328-3618

Ph: (404) 314-4014
Mrs Caitlin Russell, MS, RD, LD
1000 Johnson Ferry Rd Ste D125,
Marietta, GA 30068-2113

Ph: (404) 314-4014

Reviews and Comments


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