Era Russell
Prosthetist Orthotic Fitter
2170 W Point Rd Suite 36
LaGrange
, Georgia 30240-4007
Era Russell
Prosthetist Orthotic Fitter
2170 W Point Rd Suite 36
LaGrange
, Georgia 30240-4007
(762) 323-7874
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About
Features
Specialties
- Prosthetist
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Era Russell
- 2170 W Point Rd Suite 36
- Lagrange, GA
- Zip : 30240-4007
- Phone : (762) 323-7874
Second Address
- Era Russell
- 2170 W Point Rd Suite 36
- Lagrange, GA
- Zip : 30240-4007
- Phone : (762) 323-7874
Reviews
FAQs
Where did Era Russell attend graduate school?
Where did Era Russell do her residency?
Where did Era Russell do her fellowship?
Is Era Russell board certified?
What type of doctor is Era Russell
In what state does Era Russell practice in?
Where is Era Russell ’s practice located?
What is Era Russell ’s gender?
Is Era Russell a sole practitioner?
Is Era Russell accepting new patients?
What languages does Era Russell speak?
Does Era Russell accept insurance?
Does Era Russell offers telemedicine?
What is Era Russell ’s professional license number?
What is Era Russell ’s NPI number?
Does Era Russell have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 224P00000X | GA |
| N | 225000000X | Orthotic Fitter | GA |
National Provider Identifier
| NPI | 1447604178 |
|---|---|
| Provider Name | Era Russell |
| First Address | Lagrange, GA 30240-4007 |
| Second Address | Lagrange, GA 30240-4007 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2016 |
| Last Update Date | 01/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7708 | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.