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

RUSSELL L. CARLISLE, D.O.

Active Organization

RUSSELL L. CARLISLE, D.O. is a Primary Care Clinic organization located in BRANDON, Mississippi. NPI 1528459526 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · BRANDON, MS

Registration Details

NPI Number
1528459526
Provider Type
Organization
NPI Issued
Feb 11, 2015 (11.537183829425 yrs)
Last Updated
Feb 11, 2015
License
15093 (MS)

Practice Information

Address
333 WILLOW RIDGE CV
BRANDON, MS, 390478089
Browse MS providers · Browse ZIP 39047
Phone
6017575791
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.