Organization
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM M GRACEY (COO)
(615) 372-8500
Entity
Organization
Contact information
Practice address
103 POWELL COURT, SUITE 200, BRENTWOOD, TN 37027
(615) 372-8500
(615) 372-8586
Mailing address
103 POWELL COURT, SUITE 200, BRENTWOOD, TN 37027
(615) 372-8500
(615) 372-8586
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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