Individual
DR. JONBRIGHTON CHILDS RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
875 UNION AVE, MEMPHIS, TN 38103-3513
(901) 448-6200
Mailing address
3801 CARDINAL AVE, MEMPHIS, TN 38111-6901
(662) 207-7835
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
08/16/2022
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