RUSSELL DAVID DAVIS

CLEMMONS, NC
NPI1669119145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12444)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-05-17
Last Update Date2023-06-16
Business Address
RUSSELL DAVID DAVIS PA
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012-8041
Phone number: 336-893-2400
Mailing Address
RUSSELL DAVID DAVIS PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-893-2400