Jennings, George Russell

Jennings, George Russell is an sole proprietor health care provider with primary practice located at 203 Avalon Ave 300, Muscle Shoals AL 35661-2869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Jennings, George Russell can be contacted via phone (256) 386-1450.

Contact Information

Primary practice address
203 Avalon Ave 300 Muscle Shoals AL 35661-2869
Phone: (256) 386-1450
Fax: (256) 386-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 30640 Alabama

Profile Details

NPI number 1518184035
LBN Legal business name Jennings, George Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Nov 1st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518184035 NPPES
Alabama MEDICAID 148463

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