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Larry J Russell
Medical Specialty Clinic/Center in Hendersonville, North Carolina
NPI 1336114784

Larry J Russell is a Medical Specialty Clinic/Center based in Hendersonville, NC and is specialized in Medical Specialty. Larry J Russell practices in Hendersonville, NC. The NPI Number for Larry J Russell is 1336114784 and holds a License No. (North Carolina).

The current practice location address for Larry J Russell is 1027 Fleming Street, Hendersonville, NC and can be reached out via phone at 828-692-5781 and via fax at 828-696-8606.

Location: 1027 Fleming Street, Hendersonville, NC, 28791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336114784
Provider Name
Larry J Russell
Credential
Provider Entity Type
Organization
Address
1027 Fleming Street, Hendersonville, NC, 28791
Phone Number
828-692-5781
Fax Number
828-696-8606
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891772513 01 NPI
2322577A 01 MEDICARE
89016T5 05 NC
institution
Provider Business Practice Location Address Details
Address
1027 Fleming Street
City
Hendersonville
State
North Carolina
Zip
28791
Phone Number
828-692-5781
Fax Number
828-696-8606
person
Provider Business Mailing Address Details
Address
1027 Fleming Street
City
Hendersonville
State
North Carolina
Zip
28791
Phone Number
828-692-5781
Fax Number
828-696-8606
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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