Individual
MR. RUSSELL DAVID HINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2144 LAKESHORE DR APT 14A, RIDGELAND, MS 39157-1029
(601) 815-4613
Mailing address
2144 LAKESHORE DR APT 14A, RIDGELAND, MS 39157-1029
(601) 815-4613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT0125
MS
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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