Individual
DR. ABIGAIL L. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1008 EXECUTIVE DR STE 104, HIXSON, TN 37343-3992
(423) 954-9017
(423) 498-1597
Mailing address
4976 ALPHA LN, HIXSON, TN 37343-5470
(423) 497-5355
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4703
TN
Other
Enumeration date
04/09/2018
Last updated
06/07/2023
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