NPI 1063584175
Richard L Russell, MD
Practice location
- Address
- 106 Highland Way STE 200, Madison, MS 39110-6933
- Phone
- (601) 200-4141
- Fax
- (601) 200-4150
- Mailing address
- PO Box 23666, Jackson, MS 39225-3666
Registered specialties
Internal Medicine Physician
Primary
Registry record
- NPI
- 1063584175
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Nov 2006
- Record last updated
- 26 Feb 2019
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.