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Russell Ingram, M.D
NPI 1639163397 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1460 2nd Ave Sw
Jacksonville, AL 36265 - Phone
- (256) 435-2180
- Fax
- (256) 435-9525
- Organisation at this address
- Dr Muhamad Mazen Festok
Jacksonville Surgical & Medical Affiliates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-26
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 Alabama