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Contact Information

TIMOTHY RUSSELL, R.T. (R)
6431 WADE SPRINGS RD
MURFREESBORO, TN37130-8719
 Phone: 615-522-1094
 Fax: 866-981-2872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for TIMOTHY RUSSELL · (Male)

NPI Number 1528471083
Status Active
Credentials R.T. (R)
Entity Individual
Enumeration date 06/03/2014
Last updated 06/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 434864
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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