NPI 1013357458

Horace Ainsley Russell, MD

Practitioner Internal Medicine Physician Canton, MS

Practice location

Address: 161 River Oaks Dr, Canton, MS 39046-5375
Phone: (601) 376-2832
Fax: (601) 376-1815
Mailing address: PO Box 321359, Flowood, MS 39232-1359

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence T-2711 (MS)

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1013357458
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2013
Record last updated: 15 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.