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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. RICKY GORDON RUSSELL, MD

Active Sole Proprietor

DR. RICKY GORDON RUSSELL, MD is a Ophthalmology healthcare provider located in JACKSON, Mississippi. NPI 1053425009 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · JACKSON, MS

Registration Details

NPI Number
1053425009
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2006 (19.971865214361 yrs)
Last Updated
Jan 29, 2014
License
9309 (MS)
Sole Proprietor
Yes

Practice Information

Address
501 MARSHALL ST
SUITE 603
JACKSON, MS, 392021651
Browse MS providers · Browse ZIP 39202
Phone
6019859120
Fax
6019859122
Primary Specialty
Ophthalmology
207W00000X

Other Ophthalmology Providers in JACKSON, MS

Name Credential NPI
DR. JOHN H MCVEY M.D. 1669477329
DR. ROBERT A MALLETTE M.D. 1205831914
DR. KENNETH P TOLER JR. M.D. 1841295573
DR. CURTIS D WHITTINGTON M.D. 1659376382
DR. VICTOR JOHN FORD III M.D. 1073518817
DR. RONALD GLENN HERRINGTON M.D. 1831194679
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.