ROBERT RUSSELL

Nurse Practitioner

NPI: 1801286059IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

1-130087(AL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2014

Contact & Hours

Address: 1118 ROSS CLARK CIRCLE, SUITE 100
DOTHAN, AL 36301
Phone: (334) 794-1148

Location

Practice Location

1118 ROSS CLARK CIRCLE, SUITE 100, DOTHAN, AL

Quick Facts

NPI: 1801286059
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 12

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