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Contact Information

DANIEL P RUSSELL JR, MD
1000 JOHNSON FERRY RD
ATLANTA, GA30342-1606
 Phone: 404-851-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for DANIEL P RUSSELL JR · (Male)

NPI # 1184882532
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2008
Last updated 05/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 071863
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
  • PIEDMONT MOUNTAINSIDE HOSPITAL INC - (Acute Care)
    1266 HIGHWAY 515 SOUTH
    JASPER, GA 30143
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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