Organization
RUSSELLVILLE HOSPITAL, LLC
Active
Other names
Lakeland Cardiology & Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M. GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
531 GANDY ST NE, RUSSELLVILLE, AL 35653-1965
(205) 485-7280
(205) 485-7391
Mailing address
103 POWELL CT, STE. 200, BRENTWOOD, TN 37027-5079
(615) 372-8500
(615) 372-8572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
09/11/2025
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