Ricky Russell, M.D. Llc

LBN: Ricky Russell, M.D. Llc
Ricky Russell, M.D. Llc is an health care organization with primary practice located at 501 Marshall St Suite 603, Jackson MS 39202-1651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Ricky Russell, M.D. Llc can be contacted via phone (601) 985-9120, or through Russell, Ricky Gordon via phone (601) 985-9120.

Contact Information

Primary practice address
501 Marshall St Suite 603 Jackson MS 39202-1651
Phone: (601) 985-9120
Fax: (601) 985-9122
Website:
Map and Directions
Authorized official contact:
Name: Russell, Ricky Gordon Doctor of Medicine (MD)
Phone: (601) 985-9120

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1912049487
LBN Legal business name Ricky Russell, M.D. Llc
DBA Doing business as
Authorized official Russell, Ricky Gordon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Jan 29th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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