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Mary Russell

  • Female

Medical Specialty

Professional ID

  • NPI: 1891186888
  • PECOS ID: 8729307483
  • Enrollment ID: I20160507000021
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2014

Medical Practices

  • Organization Name: Johnson Audiology, Inc.
  • Group Practice ID assigned by PECOS: 6507052149
  • Number of Group Practice member: 9

Location

  • Address1: 1618 Gunbarrel Rd
  • Address2: Suite 102
  • City: Chattanooga
  • State: Tennessee
  • Zip Code: 37421
  • Phone Number: (423)710-1432

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):