NPI 1205222825

Byron Russell

Practitioner Personal Care Attendant Hattiesburg, MS

Practice location

Address: 713 Ronie St, Hattiesburg, MS 39401-4345
Phone: (601) 583-9401

Registered specialties (4)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1205222825
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Apr 2015
Record last updated: 9 Apr 2015

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.