DR. Horace Ainsley Russell JR., MD

NPI #1013357458 in Canton, Mississippi

Provider Information

NPI Number: 1013357458
Entity Type: Individual
Name: DR. Horace Ainsley Russell JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jun 30, 2013
Last Updated: Dec 15, 2021

Practice Location

Address: 161 RIVER OAKS DR
City: Canton
State: Mississippi
ZIP Code: 39046-5375
Phone: (601) 376-2832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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