SAMANTHA RUSSO

CHARLOTTE, NC
NPI1760260772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-09-20
Last Update Date2026-05-08
Business Address
SAMANTHA RUSSO
11220 ELM LN STE 102
CHARLOTTE, NC 28277-0716
Phone number: 704-847-4000
Mailing Address
SAMANTHA RUSSO
6021 REXWOOD PL
CHARLOTTE, NC 28210-4047
Phone number: 919-619-2623