Individual
DR. HORACE AINSLEY RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 RIVER OAKS DR, CANTON, MS 39046-5375
(601) 376-2832
(601) 376-1815
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-2711
MS
Other
Enumeration date
06/30/2013
Last updated
12/15/2021
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