person
Dr. Russell Wade Oliver, DPM
Foot Surgery Podiatrist in Shelbyville, Tennessee
NPI 1417095571

Russell Wade Oliver is a Foot Surgery Podiatrist based in Shelbyville, TN and is specialized in Foot Surgery. Russell Wade Oliver practices in Shelbyville, TN and has the professional credentials of DPM. The NPI Number for Russell Wade Oliver is 1417095571 and holds a License No. DPM0000000524 (Tennessee).

The current practice location address for Russell Wade Oliver is 635 N. Main Street, Shelbyville, TN and can be reached out via phone at 931-684-8884 and via fax at 931-684-8808. You can also correspond with Russell Wade Oliver through the mailing address at P.O. BOX 766, SHELBYVILLE, TN - 37162-0766 (mailing address contact number: 931-684-8884).

Location: 635 N. Main Street, Shelbyville, TN, 37162-0766
person
Provider Profile Details
NPI Number
1417095571
Provider Name
Russell Wade Oliver
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
635 N. Main Street, Shelbyville, TN, 37162-0766
Phone Number
931-684-8884
Fax Number
931-684-8808
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3157415 01 TN BLUE CROSS BLUE SHIELD
480025490 01 TN MEDICARE RAILROAD
TN0101 01 TN AMERICHOICE
1454420 05 TN
institution
Provider Business Practice Location Address Details
Address
635 N. Main Street
City
State
Zip
37160-3235
Phone Number
931-684-8884
Fax Number
931-684-8808
person
Provider Business Mailing Address Details
Address
635 N. Main Street
City
State
Zip
37160-3235
Phone Number
931-684-8884
Fax Number
931-684-8808
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
DPM0000000524 (Tennessee)
Definition
Definition to come...
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