Whalio Doctors

NPI 1942630504

Constance Russell

Practitioner Home Health Aide Fayetteville, GA

Practice location

Address
1572 Highway 85 N, Fayetteville, GA 30214-4054
Phone
(404) 597-3334

Registered specialties (2)

Home Health Aide Primary
Nursing Service Related Providers Taxonomy 374U00000X
Adult Companion
Nursing Service Related Providers Taxonomy 372600000X

Registry record

NPI
1942630504
Entity type
Individual
Sex (as registered)
Female
NPI issued
19 Nov 2013
Record last updated
19 Nov 2013

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.