| Bryan S Russell, DPM FACFAS | |
|
55 Whitcher St, Ste. 450, Marietta, GA 30060 | |
| (770) 590-4188 | |
| (770) 590-4189 |
| Full Name | Bryan S Russell |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 55 Whitcher St, Marietta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700854825 | NPI | - | NPPES |
| 0003150721C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD001261 (Georgia) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001261 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan S Russell, DPM FACFAS 559 Vincent St, Attn: 21 Mdos/sgof - Ortho, Peterson Afb, CO 80914-1541 Ph: (719) 526-2273 | Bryan S Russell, DPM FACFAS 55 Whitcher St, Ste. 450, Marietta, GA 30060 Ph: (770) 590-4188 |
Choice Podiatry Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 770-702-8723 | |
Robert I Heden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4439 Roswell Rd, Marietta, GA 30062 Phone: 770-977-8221 Fax: 770-977-8222 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 707-702-8809 | |
Village Podiatry Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3515 Dallas Hwy Sw, Marietta, GA 30064 Phone: 770-499-0080 Fax: 770-499-0570 | |
Charles R Haendel, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne, Ste 450, Marietta, GA 30060 Phone: 770-590-4188 Fax: 770-590-4189 | |
Village Podiatry Group Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Johnson Ferry Rd Ste 375, Marietta, GA 30068 Phone: 770-273-8895 | |
John C Haight, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 165 Vann St Ne, Marietta, GA 30060 Phone: 770-422-9856 |