person
Russell Leon Ingram, MD
Family Medicine Physician in Jacksonville, Alabama
NPI 1639163397

Russell Leon Ingram is a Family Medicine Physician based in Jacksonville, AL. Russell Leon Ingram practices in Jacksonville, AL and has the professional credentials of MD. The NPI Number for Russell Leon Ingram is 1639163397 and holds a License No. 7858 (Alabama).

The current practice location address for Russell Leon Ingram is 1460 2Nd Ave Sw, Jacksonville, AL and can be reached out via phone at 256-435-2180 and via fax at 256-435-9525.

Location: 1460 2Nd Ave Sw, Jacksonville, AL, 36265-3358
person
Provider Profile Details
NPI Number
1639163397
Provider Name
Russell Leon Ingram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1460 2Nd Ave Sw, Jacksonville, AL, 36265-3358
Phone Number
256-435-2180
Fax Number
256-435-9525
Provider Enumeration Date
09/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51519662 01 AL BLUE CROSS BLUE SHIELD
051519662 05 AL
institution
Provider Business Practice Location Address Details
Address
1460 2Nd Ave Sw
City
State
Zip
36265-3358
Phone Number
256-435-2180
Fax Number
256-435-9525
person
Provider Business Mailing Address Details
Address
1460 2Nd Ave Sw
City
State
Zip
36265-3358
Phone Number
256-435-2180
Fax Number
256-435-9525
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
7858 (Alabama)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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