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Russell L. Carlisle, D.o.
Primary Care Clinic/Center in Brandon, Mississippi
NPI 1528459526

Russell L. Carlisle, D.o. is a Primary Care Clinic/Center based in Brandon, MS and is specialized in Primary Care. Russell L. Carlisle, D.o. practices in Brandon, MS. The NPI Number for Russell L. Carlisle, D.o. is 1528459526 and holds a License No. 15093 (Mississippi).

The current practice location address for Russell L. Carlisle, D.o. is 333 Willow Ridge Cv, Brandon, MS and can be reached out via phone at 601-757-5791.

Location: 333 Willow Ridge Cv, Brandon, MS, 39047-8089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528459526
Provider Name
Russell L. Carlisle, D.o.
Credential
Provider Entity Type
Organization
Address
333 Willow Ridge Cv, Brandon, MS, 39047-8089
Phone Number
601-757-5791
Fax Number
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
333 Willow Ridge Cv
City
Brandon
State
Mississippi
Zip
39047-8089
Phone Number
601-757-5791
Fax Number
person
Provider Business Mailing Address Details
Address
333 Willow Ridge Cv
City
Brandon
State
Mississippi
Zip
39047-8089
Phone Number
601-757-5791
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
15093 (Mississippi)
Definition
Definition to come...
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