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DR. MELVIN D RUSSELL M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1760452999

Individual Registrant:
DR. MELVIN D RUSSELL M.D.
Gender: M

Location and contact information for practice:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111  Fax: 334-283-3656

Contact information for business:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111  Fax: 334-283-3656

Registration Information:
NPI: 1760452999
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL00003909

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS51086222AL01




HEALTH CARE JOBS AL - Page 1



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