Individual
WILLIAM LEE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 FRANK MARTIN RD, SUITE 101, SHELBYVILLE, TN 37160-7194
(931) 685-0986
(931) 685-0988
Mailing address
120 FRANK MARTIN RD, SUITE 101, SHELBYVILLE, TN 37160-7194
(931) 685-0986
(931) 685-0988
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9794
TN
Other
Enumeration date
10/26/2005
Last updated
01/15/2014
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