Russellville Physician Practices LLC
NPI #1174956841 in Russellville, Alabama
Provider Information
- NPI Number
- 1174956841
- Entity Type
- Organization
- Organization Name
- Russellville Physician Practices LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 16, 2013
- Last Updated
- Aug 16, 2013
Practice Location
- Address
- 15225 HIGHWAY 43
- Address 2
- SUITE G
- City
- Russellville
- State
- Alabama
- ZIP Code
- 35653-1999
- Phone
- (256) 331-1900
Authorized Official
- Name
- ANGIE MANGUM
- Title
- SENIOR DIRECTOR
- Phone
- (615) 565-1898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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