Dr KELLY ANN RUSSIN is a female medical professional, specializing in Physician Assistant. She graduated in 2003.
NORTHSIDE URGENT CARE HOLDING LLC
81 NORTHSIDE DAWSON DR
SUITE 100A
DAWSONVILLE
GA
305347166
Tel: 7062166000
| Npi | 1780745554 |
| Pac Id | 0446426217 |
| Professional Enrollment Id | I20111228000258 |
| Last Name | RUSSIN |
| First Name | KELLY |
| Middle Name | ANN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | NORTHSIDE URGENT CARE HOLDING LLC |
| Group Practice Pac Id | 4587984695 |
| Number Of Group Practice Members | 59 |
| Line 1 Street Address | 81 NORTHSIDE DAWSON DR |
| Line 2 Street Address | SUITE 100A |
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| City | DAWSONVILLE |
| State | GA |
| Zip Code | 305347166 |
| Phone Number | 7062166000 |
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| Professional Accepts Medicare Assignment | Y |
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