DR. DIANE KAY RUSSO D.C. NPI 1871640490

NPI Information

NPI: 1871640490
Provider Name: DR. DIANE KAY RUSSO, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1475 TERRELL MILL RD SE
SUITE 108
MARIETTA, GA
ZIP 30067
Phone: (770) 984-2813
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DR. Diane Kay Russo, D.C. is a chiropractor in Marietta, GA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Diane Kay Russo, D.C. NPI is 1871640490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1475 TERRELL MILL RD SE
SUITE 108
MARIETTA, GA
ZIP 30067-049
Phone: (770) 984-2813
Fax: (770) 984-9416

The enumeration date for this NPI number is 1/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CHIR005940	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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