DR. GREGORY RUSSELL, O.D.

Optometrist

Active Individual
NPI: 1033144225

Practice Address

102 PROFESSIONAL PARK PVT DR
Kingsport, TN 37663

Phone: (423) 245-2222

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODT1813 (TN)

Frequently Asked Questions

NPI 1033144225 is the National Provider Identifier for DR. GREGORY RUSSELL, O.D., a Optometrist provider located in Kingsport, TN. This NPI was enumerated on July 12, 2006.
DR. GREGORY RUSSELL, O.D. practices at 102 PROFESSIONAL PARK PVT DR, Kingsport, TN 37663.

Quick Facts

NPI
1033144225
Type
Individual
Enumerated
Jul 12, 2006
Last Updated
Jul 9, 2007

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