Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ZACHARY RUSSELL, ATC, LAT, CSCS, OTC
Active Sole ProprietorZACHARY RUSSELL, ATC, LAT, CSCS, OTC is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in WATKINSVILLE, Georgia. NPI 1750753182 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · WATKINSVILLE, GA
Registration Details
- NPI Number
- 1750753182
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2015 (10.84149614486 yrs)
- Last Updated
- Sep 27, 2019
- Licenses
-
0001416 (CO)AT003715 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1305 JENNINGS MILL ROADBUILDING 300, SUITE 110WATKINSVILLE, GA, 30677Browse GA providers · Browse ZIP 30677
- Phone
- 7066135880
- Fax
- 7066135880
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Other Adult Reconstructive Orthopaedic Surgery Providers in WATKINSVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| TRACY R RAY | MD | 1609843481 |
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.