Russell L. Carlisle, DO
Russell L. Carlisle, DO is a Primary Care Clinic/Center in Brandon, Mississippi. Licensed in Mississippi. Registered with an NPI since 2015.
- Licensed in
- MS
- In the registry since
- 2015
Practice location Address checks out
333 Willow Ridge CvBrandon, MS 39047-8089
Phone: (601) 757-5791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 15093 (MS) |
|---|
Record details
| NPI number | 1528459526 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Carlisle — Owner · (601) 757-5791 |
| NPI enumerated | February 11, 2015 |
| Last updated in NPPES | February 11, 2015 |
| Mailing address | 333 Willow Ridge Cv, Brandon, MS 39047-8089 |