Organization
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Active
Other names
North Alabama Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (VICE PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
15225 HIGHWAY 43, SUITE B, RUSSELLVILLE, AL 35653-1999
(256) 331-1449
(256) 331-5829
Mailing address
PO BOX 1216, RUSSELLVILLE, AL 35653-1216
(256) 331-1449
(256) 331-5829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31115
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132812
—
AL
Enumeration date
09/16/2011
Last updated
06/07/2012
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