Healthcare Provider Details

I. General information

NPI: 1295643690
Provider Name (Legal Business Name): FAMILY HEALTH CENTERS INC DBA RUSSELL MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4355 BROWNS BRIDGE RD
CUMMING GA
30041-4554
US

IV. Provider business mailing address

4355 BROWNS BRIDGE RD
CUMMING GA
30041-4554
US

V. Phone/Fax

Practice location:
  • Phone: 770-771-5050
  • Fax: 770-771-5051
Mailing address:
  • Phone: 770-771-5050
  • Fax: 770-771-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDEE NICOLE URRUTIA
Title or Position: OWNER
Credential: MD
Phone: 770-771-5050