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

Russellville Internal Medicine PC

Organization Internal Medicine Physician · NPI 1174715296

Russellville Internal Medicine PC is an Internal Medicine Physician in Russellville, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

535 Gandy St NE
Russellville, AL 35653-1965
Phone: (256) 332-1120
Fax: (256) 332-1198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 28146 (AL)

Record details

NPI number1174715296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miranda Decker — Md · (256) 332-1120
NPI enumeratedAugust 13, 2007
Last updated in NPPESOctober 25, 2024
Certification dateOctober 25, 2024
Mailing addressPo Box 516, Russellville, AL 35653-0516

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