Russell G Eyman
Periodontist
225 Carl Vinson Pkwy
Warner Robins
, Georgia 31088-5831
Russell G Eyman
Periodontist
225 Carl Vinson Pkwy
Warner Robins
, Georgia 31088-5831
(478) 929-3382
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Russell G Eyman
- 225 Carl Vinson Pkwy
- Warner Robins, GA
- Zip : 31088-5831
- Fax : (478) 929-3382
- Phone : (478) 923-0232
Second Address
- Russell G Eyman
- 225 Carl Vinson Pkwy
- Warner Robins, GA
- Zip : 31088-5831
- Fax : (478) 929-3382
- Phone : (478) 923-0232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 7417 | GA |
National Provider Identifier
| NPI | 1043369333 |
|---|---|
| Provider Name | Russell G Eyman |
| First Address | Warner Robins, GA 31088-5831 |
| Second Address | Warner Robins, GA 31088-5831 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U22278 | (02) | 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.