NPI 1053873612

Lonnie Nicholas Russell, MD

Practitioner Family Medicine Physician Marietta, GA

Practice location

Address: 660 Cherokee St NE STE 100, Marietta, GA 30060-8930
Phone: (678) 797-8201
Mailing address: 450 14th St NW, Atlanta, GA 30318-7963

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 88192 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1053873612
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2019
Record last updated: 27 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.