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Individual

DR. STEPHANIE L. RUSS-BARBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2587 WILLOW POINT WAY, KNOXVILLE, TN 37931-3162
(865) 470-2560
(865) 691-5883
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 500-2144
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
051725
GA
208000000X
Pediatrics Physician
Primary
48935
TN
208000000X
Pediatrics Physician
TL28480
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085003062G
GA
05
Q000722
TN
Enumeration date
02/08/2006
Last updated
12/18/2019
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