Organization
RUSSELLVILLE HOLDINGS, LLC
Active
Parent organization
RUSSELLVILLE HOLDINGS, LLC
Other names
(Part B)
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELLVILLE HOLDINGS, LLC
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
11720 STATE ROUTE 27, HECTOR, AR 72843
(479) 284-5001
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
03/29/2022
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