Tekia Russell
Tekia Russell is an Attendant Care Provider in Baxley, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1190 Lawanna DrBaxley, GA 31513-6859
Phone: (912) 347-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X |
Record details
| NPI number | 1417614371 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 26, 2021 |
| Last updated in NPPES | November 26, 2021 |
| Certification date | November 26, 2021 |
| Mailing address | 1190 Lawanna Dr, Baxley, GA 31513-6859 |