Individual
DR. GARY NELSON RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 221-5374
(205) 384-1453
Mailing address
2950 HIGHWAY 78 E, JASPER, AL 35501-8903
(205) 221-5374
(205) 384-1453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14702
AL
207X00000X
Orthopaedic Surgery Physician
Primary
14702
AL
Other
Enumeration date
07/13/2005
Last updated
02/10/2021
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