Russellville Internal Medicine Pc in Russellville - Internal Medicine
Russellville Internal Medicine Pc - NPI 1174715296
Russellville Internal Medicine Pc is a Internal Medicine in Russellville, Alabama. Russellville Internal Medicine Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Russellville Internal Medicine Pc is 1174715296. The last update date is 2007-08-13.
Russellville Internal Medicine Pc's current location address is Po Box 516, Russellville, Alabama. You can contact this provider via phone number 2563321120 and fax number 2563321198. The mailing address for Russellville Internal Medicine Pc is Po Box 516, Russellville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russellville Internal Medicine Pc |
|---|---|
| Address | Po Box 516, Russellville, Alabama |
| Phone Number | 2563321120 |
| Fax Number | 2563321198 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Decker Miranda |
| Credentials | MD |
| Telephone Number | 2563321120 |
NPI Number Detail
| NPI Number | 1174715296 |
|---|---|
| Provider Enumeration Date | 2007-08-13 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | Po Box 516 |
|---|---|
| City | Russellville |
| State | Alabama (AL) |
| Post Code | 356530516 |
| Phone Number | 2563321120 |
| Fax Number | 2563321198 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 28146 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Russellville Internal Medicine Pc's 1174715296?
The Russellville Internal Medicine Pc's NPI (National Provider Identifier) Number is 1174715296. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russellville Internal Medicine Pc's physical address?
The Russellville Internal Medicine Pc is physically located at Po Box 516, in the city of Russellville, AL, with the postal code 356530516.
What is Russellville Internal Medicine Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russellville Internal Medicine Pc is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
When was the Russellville Internal Medicine Pc's 1174715296 issued?
The Russellville Internal Medicine Pc's 1174715296 was issued on 2007-08-13.
When was the information regarding Russellville Internal Medicine Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russellville Internal Medicine Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-13.
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