DOUGLAS BLANE RUSSELL

YANCEYVILLE, NC
NPI1487617619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  103359)
Enumeration Date2006-04-10
Last Update Date2022-10-05
Business Address
DOUGLAS BLANE RUSSELL PA
439 US HWY 158 WEST
YANCEYVILLE, NC 27379
Phone number: 336-694-1181
Mailing Address
DOUGLAS BLANE RUSSELL PA
5610 GROOMETOWN RD HIGH POINT
HIGH POINT, NC 27263-9368
Phone number: 336-688-0928
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