Russell Trevena
MD | Pediatric Emergency Medicine | Male
Russell Trevena, MD is a Stockbridge, Georgia based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Russell Trevena is
1510 Hudson Bridge Rd, Stockbridge, Georgia - 30281-5020. He can be contacted on phone at
404-785-8660 and fax number 404-785-8730.
Russell Trevena is a sole proprietor of his business.
NPI number (Unique professional ID) for Russell Trevena is
1679505762 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 06 Jun, 2022.
Russell Trevena license number is
39251 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Georgia.
Russell Trevena has special qualifications to manage emergencies in infants and children.
Complete Profile:
Russell Trevena basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Russell Trevena |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Russell Trevena address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1510 Hudson Bridge Rd
Stockbridge, GA, 30281-5020
United States |
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| Phone Number : | 404-785-8660 |
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| Fax Number : | 404-785-8730 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1679505762 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 06 Jun, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Trevena are as mentioned. Primary taxonomy code for Russell Trevena, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 39251 | GA |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | choa@choa.gadirect.net
| No affiliation |
|
| 1510 HUDSON BRIDGE RD,
STOCKBRIDGE, GA, 30281-5020
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1510 Hudson Bridge Rd
Stockbridge, GA, 30281-5020
United States |
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| Phone Number : | 404-785-8660 |
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| Fax Number : | 404-785-8730 |
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Business Location:
Patients can refer following map for directions to
Russell Trevena practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.