SRD RUSSELLVILLE PLLC

RUSSELLVILLE, AL
NPI1730810920
Entity TypeOrganization
Authorized ContactCHRISTYN SHIELDS
Controller
256-320-5903
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-06-20
Last Update Date2022-07-06
Business Address
SRD RUSSELLVILLE PLLC
531 SAINT CLAIR ST SE
RUSSELLVILLE, AL 35653-2719
Phone number: 256-332-6888
Mailing Address
SRD RUSSELLVILLE PLLC
PO BOX 740979
TUSCUMBIA, AL 35674-7423
Phone number: