Individual
HENRY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
(615) 936-0605
Mailing address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
(615) 936-0605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD16859
TN
Other
Enumeration date
10/09/2006
Last updated
04/25/2012
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