SearchTennessee376J00000X

Michael Russell

NPI 1932873742 · on the registry since 2021 · sole proprietor

Practice

Address
105 Dickey Valley Rd
Harriman, TN 37748
Phone
(865) 771-4642

Registry record

Primary taxonomy
376J00000X
376J00000X
Sex
Male
Record last updated
2021-08-04

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 Tennessee