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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL TREVENA, MD

Active

RUSSELL TREVENA, MD is a Pediatric Emergency Medicine healthcare provider located in STOCKBRIDGE, Georgia. NPI 1679505762 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · STOCKBRIDGE, GA

Registration Details

NPI Number
1679505762
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.133984179146 yrs)
Last Updated
Jun 6, 2022
License
39251 (GA)

Practice Information

Address
1510 HUDSON BRIDGE RD
STOCKBRIDGE, GA, 302815020
Browse GA providers · Browse ZIP 30281
Phone
4047858660
Fax
4047858730
Primary Specialty
Pediatric Emergency Medicine
2080P0204X

Other Pediatric Emergency Medicine Providers in STOCKBRIDGE, GA

Name Credential NPI
JILL DANA MILLER M.D. 1437198280
LATIKA GOYAL-SINGH MD 1770863284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.