Andrea Russo's National Provider Identifier (NPI) Details
Andrea Russo, MS, LAPC
NPI: 1114442001
Enumeration Date: 2017-08-11
Last updated: 2021-07-20
Sole Proprietor: YES
Status: active
Postal Address: 6595 ROSWELL RD STE G-6262, ATLANTA, GA
Phone: 678-856-6788
Primary Practice Address: 6595 ROSWELL RD STE G-6262, ATLANTA, GA
Practice's phone: