IndividualActive
Abigail Russell, DO
NPI 1497252282 · Dermatology Physician · Hixson, TN
Provider details
- NPI number
- 1497252282
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 4703 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1008 Executive Dr Ste 104
Hixson, TN 37343-3992
Phone: (423) 954-9017
Fax: (423) 498-1597
Approximate (ZIP-level) locationGet directions
Mailing address
4976 Alpha Ln
Hixson, TN 37343-5470
Additional practice locations (1)
- 1726 Gunbarrel Rd Ste 200Chattanooga, TN 37421-4754Phone: (423) 954-9018Fax: (423) 498-1597
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.