Mission Medical, INC
Family Medicine in Russellville, AL. Organization (NPI-2).
NPI number1982136123
StatusActive
Last updated in NPPESJun 3, 2025
Details
- NPI
- 1982136123
- Entity type
- Organization (NPI-2)
- Legal business name
- Mission Medical, INC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2017
- Certification date
- Jun 3, 2025
- Last updated
- Jun 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
124 Jackson Ave S Ste CRussellville, AL 35653-2232
Phone 256-398-7212 · Fax 256-398-7213
Mailing address
124 Jackson Ave S Ste CRussellville, AL 35653-2232
Phone 256-398-7212 · Fax 256-398-7213
Authorized official
Carolee Cosby
Office Manager
2568571223
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