Search › Mississippi › 207Q00000X
Russell Carlisle, DO
NPI 1689263717 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10058 Sylvarena Rd
Wesson, MS 39191 - Phone
- (601) 757-5791
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-13
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