Search › Mississippi › 3747P1801X
Byron Russell
NPI 1205222825 · on the registry since 2015
Practice
- Address
- 713 Ronie St
Hattiesburg, MS 39401 - Phone
- (601) 583-9401
- Organisation at this address
- Tradition Home Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Also registered as
- 372500000X
372600000X
376J00000X - Sex
- Male
- Record last updated
- 2015-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi