Russell Leon Ingram, M.D.

NPI #1639163397 in Jacksonville, Alabama

Provider Information

NPI Number
1639163397
Entity Type
Individual
Name
Russell Leon Ingram, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Sep 8, 2005
Last Updated
Jul 26, 2007

Practice Location

Address
1460 2ND AVE SW
State
Alabama
ZIP Code
36265-3358
Phone
(256) 435-2180

Specialties & Taxonomy Codes

Specialty
Family Medicine

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