Individual
DR. RUSSELL J PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25908 CANAL RD STE D, ORANGE BEACH, AL 36561-5015
(251) 952-6653
(844) 204-4753
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7390
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18875
AL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
18875
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253177
—
AL
05
—
253180
—
AL
Enumeration date
08/29/2006
Last updated
08/06/2025
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