Individual
DR. JEREMY PAUL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4210 WHITESPORT CIR, # 204, HUNTSVILLE, AL 35801
(256) 883-8087
Mailing address
1010 HAMPTON FALL BLVD, APT. 1111, BROWNSBORO, AL 35741-8024
(502) 445-6354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26988
AL
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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