ROBERT CODY RUSSELL

DOTHAN, AL
NPI1801286059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-130087)
Enumeration Date2015-01-27
Last Update Date2015-01-27
Business Address
-- ROBERT CODY RUSSELL
1118 ROSS CLARK CIRCLE, SUITE 100
DOTHAN, AL 36301
Phone number: 334-794-1148
Mailing Address
-- ROBERT CODY RUSSELL
1118 ROSS CLARK CIRCLE, SUITE 100
DOTHAN, AL 36301
Phone number: 334-794-1148
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