Individual
DR. WILLIAM S. RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 N 20TH ST, #2, OPELIKA, AL 36801-5449
(334) 745-6447
(334) 742-0713
Mailing address
121 N 20TH ST, #2, OPELIKA, AL 36801-5449
(334) 745-6447
(334) 742-0713
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1638
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-05424
BCBS PROVIDER #
AL
Enumeration date
06/08/2006
Last updated
07/08/2007
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