NPI 1528151610

Robert L Russell, MD

Practitioner Family Medicine Physician Ridgeland, MS

Practice location

Address: 305 Highway 51, Ridgeland, MS 39157-3428
Phone: (601) 856-9980
Fax: (601) 856-9994
Mailing address: 5606 Old Canton Rd, Jackson, MS 39211-4217

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 12039 (MS)

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1528151610
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 6 Feb 2017

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.