Russell, Timothy Glenn

Russell, Timothy Glenn is an individual health care provider with primary practice located at 140 Burke Calhoun City Rd , Calhoun City MS 38916-9690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Russell, Timothy Glenn can be contacted via phone (662) 842-1758.

Contact Information

Primary practice address
140 Burke Calhoun City Rd Calhoun City MS 38916-9690
Phone: (662) 842-1758
Fax: (662) 628-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28944 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28048 Mississippi

Profile Details

NPI number 1073937132
LBN Legal business name Russell, Timothy Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2014
Last updated May 2nd, 2024 - about last year

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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