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Contact Information

DUANE L RUSSELL, MD
117 S 11TH AVE
LAUREL, MS39440-4312
 Phone: 601-425-3033
 Fax: 601-428-6561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for DUANE L RUSSELL · (Male)

NPI # 1962408658
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2005
Last updated 07/11/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 017375
  • MS Medicaid 0124892
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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