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1326151812
RUSSELL GROSS M D L L C
COVINGTON, TN
NPI
1326151812
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Entity Type
Organization
Authorized Contact
RUSSELL J GROSS
Owner
901-476-9921
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-08-17
Last Update Date
2020-08-22
Business Address
RUSSELL GROSS M D L L C
1995 HIGHWAY 51 S SUITE 101
COVINGTON, TN 38019-3635
Phone number: 901-476-9921
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Mailing Address
RUSSELL GROSS M D L L C
1995 HIGHWAY 51 S SUITE 101
COVINGTON, TN 38019-3635
Phone number: 901-476-9921
Copy
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