| NPI | 1659712594 |
|---|---|
| Doing Business As | RUSSELLVILLE GENERAL SURGEY |
| Entity Type | Organization |
| Authorized Contact | ANGIE MANGUM Sr Director 615-565-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |