Dr Abigail L Russell, DO | |
1008 Executive Dr Ste 104, Hixson, TN 37343-3992 | |
(423) 954-9017 | |
(423) 498-1597 |
Full Name | Dr Abigail L Russell |
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Gender | Female |
Speciality | Dermatology |
Location | 1008 Executive Dr Ste 104, Hixson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497252282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 4703 (Tennessee) | Primary |
Entity Name | Galen Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346250057 PECOS PAC ID: 2668377391 Enrollment ID: O20031204001027 |
Mailing Address | Practice Location Address |
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Dr Abigail L Russell, DO 4976 Alpha Ln, Hixson, TN 37343-5470 Ph: (423) 497-5355 | Dr Abigail L Russell, DO 1008 Executive Dr Ste 104, Hixson, TN 37343-3992 Ph: (423) 954-9017 |
Dr. Victoria Collier, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1008 Executive Dr Ste 104, Hixson, TN 37343 Phone: 423-954-9017 Fax: 423-498-1597 | |
Lisa Bertina Carroll, PA C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Road, Ste 301 A, Hixson, TN 37343 Phone: 423-870-3376 Fax: 423-877-1387 | |
Charles Rodney Susong, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Rd, Ste 301a, Hixson, TN 37343 Phone: 423-870-3376 Fax: 423-877-1387 | |
Autumn Newman, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2051 Hamill Rd, #301, Hixson, TN 37343 Phone: 423-870-3376 |