Russell Trevena, MD is a pediatric emergency medicine pediatrics in Stockbridge, GA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Russell Trevena, MD NPI is 1679505762. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1510 HUDSON BRIDGE RD
STOCKBRIDGE, GA
ZIP 30281-020
Phone: (404) 785-8660
Fax: (404) 785-8730
The NPI 1679505762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/7/2006 and was last updated on 6/6/2022.