Russell Gross M D L L C

NPI #1326151812 in Covington, Tennessee

Provider Information

NPI Number: 1326151812
Entity Type: Organization
Organization Name: Russell Gross M D L L C
Primary Specialty: Surgery
Enumeration Date: Aug 17, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1995 HIGHWAY 51 S
Address 2: SUITE 101
City: Covington
State: Tennessee
ZIP Code: 38019-3635
Phone: (901) 476-9921

Authorized Official

Name: RUSSELL J GROSS, M.D.
Title: OWNER
Phone: (901) 476-9921

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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