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Chris Russell
Student in an Organized Health Care Education/Training Program in Maryville, Tennessee
NPI 1104688944

Chris Russell is a Student in an Organized Health Care Education/Training Program based in Knoxville, TN. Chris Russell practices in Maryville, TN. The NPI Number for Chris Russell is 1104688944 and holds a License No. (Tennessee).

The current practice location address for Chris Russell is 1704 E Broadway Ave, Maryville, TN and can be reached out via phone at 865-556-0921.

Location: 1704 E Broadway Ave, Maryville, TN, 37912-2747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104688944
Provider Name
Chris Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1704 E Broadway Ave, Maryville, TN, 37912-2747
Phone Number
865-556-0921
Fax Number
Provider Enumeration Date
01/26/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1704 E Broadway Ave
City
Maryville
State
Tennessee
Zip
37804-2916
Phone Number
865-556-0921
Fax Number
person
Provider Business Mailing Address Details
Address
1704 E Broadway Ave
City
Maryville
State
Tennessee
Zip
37804-2916
Phone Number
865-556-0921
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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