Individual
BETHANY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1323 E WOOD ST, PARIS, TN 38242
(731) 642-2011
(731) 644-2758
Mailing address
1323 E WOOD ST, PARIS, TN 38242-4421
(731) 642-2011
(731) 644-2758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55361
TN
Other
Enumeration date
03/24/2015
Last updated
05/02/2023
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