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1043200603
GERALD THOMAS RUSSELL
FARRAGUT, TN
NPI
1043200603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN MD0000012638)
Enumeration Date
2005-10-25
Last Update Date
2013-10-25
Business Address
Dr. GERALD THOMAS RUSSELL MD
11130 KINGSTON PIKE SUITE 7&8
FARRAGUT, TN 37934-2865
Phone number: 865-675-1953
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Mailing Address
Dr. GERALD THOMAS RUSSELL MD
1225 E WEISGARBER RD SUITE 200
KNOXVILLE, TN 37909-2604
Phone number: 865-584-4747
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