Larry J Russell
NPI #1336114784 in Hendersonville, North Carolina
Provider Information
- NPI Number
- 1336114784
- Entity Type
- Organization
- Organization Name
- Larry J Russell
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Feb 21, 2006
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 1027 FLEMING STREET
- City
- Hendersonville
- State
- North Carolina
- ZIP Code
- 28791
- Phone
- (828) 692-5781
Authorized Official
- Name
- LAURA H WARD
- Title
- PRACTICE MANAGER
- Phone
- (828) 692-5781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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