Kelly Russin, PA
Kelly Russin, PA is a Physician Assistant in Union City, Georgia. Qualified in 2003, 23 years ago. Practices with Southside Medical Care, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 23
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
6325 Shannon Pkwy Ste DUnion City, GA 30291-1538
Phone: (770) 964-1400
Fax: (770) 306-1343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 004096 (GA) |
|---|
Record details
| NPI number | 1780745554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | July 26, 2012 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Southside Medical Care — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |