Individual
TIMOTHY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (R)
Contact information
Practice address
6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
(615) 522-1094
(866) 981-2872
Mailing address
6431 WADE SPRINGS RD, MURFREESBORO, TN 37130-8719
(615) 522-1094
(866) 981-2872
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
434864
TN
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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