Individual
RUSSELL ALLEN MORRIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
245 SPUD HILL RD, MAYFIELD, KY 42066-8001
(207) 559-8886
Mailing address
245 SPUD HILL RD, MAYFIELD, KY 42066-8001
(207) 559-8886
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT0000006642
TN
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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