Douglas Blane Russell, PA
NPI #1487617619 in Yanceyville, North Carolina
Provider Information
- NPI Number
- 1487617619
- Entity Type
- Individual
- Name
- Douglas Blane Russell, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Apr 10, 2006
- Last Updated
- Oct 5, 2022
Practice Location
- Address
- 439 US HWY 158 WEST
- City
- Yanceyville
- State
- North Carolina
- ZIP Code
- 27379
- Phone
- (336) 694-1181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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