Organization Name: | RUSSELL N. FERRELL, D.C. |
NPI Number: | 1164794327 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUSSELL N. FERRELL (OWNER) |
Mailing Address: | 4524 Southlake Pkwy Suite 4 Hoover |
State: | AL US |
Postal Code: | 352443270 |
Phone Number: | 2059894950 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2012 |
NPI Last Update Date: | 02/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 1475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |