Dr. Russell Edward Perry, M.D.
Internal Medicine in Greeneville, TN. Individual provider (NPI-1).
NPI number1982609129
StatusActive
Last updated in NPPESJan 29, 2019
Details
- NPI
- 1982609129
- Entity type
- Individual (NPI-1)
- Name
- Dr. Russell Edward Perry
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Last updated
- Jan 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 52055 | TN | Yes |
Practice location
1231 Tusculum BlvdGreeneville, TN 37745-4137
Phone 423-639-9970 · Fax 423-639-4281
Mailing address
1231 Tusculum BlvdGreeneville, TN 37745-4137
Phone 423-639-9970 · Fax 423-639-4281
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