| Dr Robert Joseph Russell, MD | |
|
539c Highway 80 W, Clinton, MS 39056-4193 | |
| (601) 924-7489 | |
| (601) 924-0988 |
| Full Name | Dr Robert Joseph Russell |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 539c Highway 80 W, Clinton, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144331422 | NPI | - | NPPES |
| 0119425 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 14410 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Joseph Russell, MD 1867 Crane Ridge Dr Ste 101b, Jackson, MS 39216-4956 Ph: (601) 362-8776 | Dr Robert Joseph Russell, MD 539c Highway 80 W, Clinton, MS 39056-4193 Ph: (601) 924-7489 |
Louisa Emefa Lawson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Clinton Blvd, Clinton, MS 39056 Phone: 601-924-2008 Fax: 601-924-2022 | |
Hallye M Lewis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 539c Hwy 80 West, Clinton, MS 39056 Phone: 601-362-8776 Fax: 601-924-0988 |