Individual
DR. ROBERT CLAUDE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 KILLION ST, LOUISVILLE, TN 37777-4407
(865) 970-3450
Mailing address
802 KILLION ST, LOUISVILLE, TN 37777-4407
(865) 970-3450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD6574
TN
Other
Enumeration date
12/01/2007
Last updated
12/01/2007
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