Gerald Thomas Russell MD

NPI 1043200603 - Family Medicine - 207Q00000X

NPI Details
NPI 1043200603
Gender Male
Enumeration Date 10/25/2005
Last Updated 10/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
11130 KINGSTON PIKE
SUITE 7&8
FARRAGUT TN, 37934-2865, US
Phone (865) 675-1953
Fax
Business Location
1225 E WEISGARBER RD
SUITE 200
KNOXVILLE TN, 37909-2604, US
Phone (865) 584-4747
Fax (865) 584-1363
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD0000012638
Remove 1043200603 NPI Number
 

According to our database, Dr. Gerald Thomas Russell MD NPI is 1043200603, taxonomy code is 207Q00000X and license number is MD0000012638, license state is located at Tennessee. Gerald Thomas Russell MD physically located at 11130 Kingston Pike, Farragut TN, 37934-2865. NPI Number Gerald Thomas Russell MD has the Individual type.

Sponsored links

1043200603 NPI number is provided on an as is basis without warranty of any kind. 1043200603 is maintained by the National Plan & Provider Enumeration System. The contents of Gerald Thomas Russell MD are for informational purposes only.