OrganizationActive
General and Vascular Surgery of Northwest Alabma, Inc.
NPI 1154639227 · Vascular Surgery Physician · Russellville, AL
Provider details
- NPI number
- 1154639227
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Manord, President(256) 332-1500
- License
- 23436 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15225 Highway 43 Ste D
Russellville, AL 35653-1969
Phone: (256) 332-1500
Fax: (256) 398-8888
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 660
Russellville, AL 35653-0616
Additional practice locations (1)
- 203 Avalon Ave Ste 120Muscle Shoals, AL 35661-2857Phone: (256) 332-1500
Registry dates
- Enumerated
- 2010-09-22
- Last updated
- 2022-03-29
- Certified
- 2022-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.