Organization
R.J. LEGREID II, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL J LEGREID II M.D. (PREDISENT)
(931) 363-0434
Entity
Organization
Contact information
Practice address
1255 E COLLEGE ST, PULASKI, TN 38478-4515
(931) 363-0343
(931) 363-2604
Mailing address
1255 E COLLEGE ST, PULASKI, TN 38478-4515
(931) 363-0343
(931) 363-2604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39319
TN
Other
Enumeration date
02/28/2008
Last updated
06/27/2008
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