Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

General and Vascular Surgery of Northwest Alabma, Inc

Organization Vascular Surgery Physician · NPI 1154639227

General and Vascular Surgery of Northwest Alabma, Inc is a Vascular Surgery Physician in Russellville, Alabama. Works from 2 locations. Licensed in Alabama.

Licensed in
AL
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15225 Highway 43 Ste D
Russellville, AL 35653-1969
Phone: (256) 332-1500
Fax: (256) 398-8888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 203 Avalon Ave Ste 120, Muscle Shoals, AL 35661-2857 — (256) 332-1500

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 23436 (AL)

Record details

NPI number1154639227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Manord — President · (256) 332-1500
NPI enumeratedSeptember 22, 2010
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing addressPo Box 660, Russellville, AL 35653-0616