Organization
RUSSELLVILLE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRANDA DECKER MD (MD)
(256) 332-1120
Entity
Organization
Contact information
Practice address
535 GANDY ST NE, RUSSELLVILLE, AL 35653-1965
(256) 332-1120
(256) 332-1198
Mailing address
PO BOX 516, RUSSELLVILLE, AL 35653-0516
(256) 332-1120
(256) 332-1198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28146
AL
Other
Enumeration date
08/13/2007
Last updated
10/25/2024
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