Organization · Type 2 NPI

Deidre J. Russell, M.d.,llc

Specialist · Selma, AL

NPI number 1003863846 Active

Practice location

203 Vaughan Memorial Dr
Selma, AL 36701-6950

Fax (334) 875-4331

Mailing address

PO Box 1470
Selma, AL 36702-1470

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X00019979 (AL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003863846

Deidre J. Russell, M.d.,llc's National Provider Identifier is 1003863846, issued on May 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Selma, AL. The record was last updated on Aug 22, 2020.