Jack Russelle Lake, DO
Jack Russelle Lake, DO is a Diagnostic Radiology in Albany, Georgia. Qualified in 2003, 23 years ago. Practices with South Jersey Radiology Associates P A, a 200-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Oklahoma.
- Years since qualifying
- 23
- Licensed in
- GA, OK
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
2624 Dawson RdAlbany, GA 31707-1609
Phone: (229) 888-1624
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 940 Ne 13th St, Oklahoma City, OK 73104-5008 — (405) 271-5125
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 4205 (OK) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 101304 (GA) |
Record details
| NPI number | 1932248101 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |
| Mailing address | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | South Jersey Radiology Associates P A — 200 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Albany
-
Edwin J Fortenbery, MD
417 W 3rd Ave, Albany, GA 31701-1943 · (706) 653-1088
-
Dr. Nicholas Mark Gutierrez, MD
2624 Dawson Rd, Albany, GA 31707-1609 · (229) 888-1624
-
Dr. Allison Lea Hays, MD
417 W 3rd Ave, Albany, GA 31701-1943 · (706) 653-1088
-
Michael Im, MD
2624 Dawson Rd, Albany, GA 31707-1609 · (229) 888-1624
-
Suresh K Lakhanpal, MD
417 W 3rd Ave, Albany, GA 31701-1943 · (706) 653-1088
-
Karen E Lovett, MD
417 W 3rd Ave, Albany, GA 31701-1943 · (706) 653-1088
-
Halvor Parris Jr., MD
417 W 3rd Ave, Albany, GA 31701-1943 · (706) 653-1088
-
Joseph Pietron, DO
2624 Dawson Rd, Albany, GA 31707-1609 · (229) 888-1624