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Contact Information

RUSSELL F SHEARER JR, PhD
2400 MT. ZION PARKWAY
KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA30236
 Phone: 770-603-3632
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RUSSELL F SHEARER JR · (Male)

NPI Number 1265700918
Status Active
Credentials PhD
Entity Individual
Enumeration date 12/08/2011
Last updated 04/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # PSY003453
Hospital affiliation(s) Not Available
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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