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Contact Information

RUSSELL G REMALIA, DO
260 ELM ST
CUMMING, GA30040-2467
 Phone: 770-887-1668
 Fax: 770-781-9937
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL G REMALIA · (Male)

NPI Number 1710073507
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/05/2006
Last updated 08/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS9988
  • GA License # 74998
  • ME License # 1305
  • FL Medicaid 280165500
  • ME Medicaid 130110000
  • ME Medicaid 130110099
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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