| Douglas Blane Russell, PA | |
|
439 Us Hwy 158 West, Yanceyville, NC 27379 | |
| (336) 694-1181 | |
| Not Available |
| Full Name | Douglas Blane Russell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 439 Us Hwy 158 West, Yanceyville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487617619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 103359 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Blane Russell, PA 5610 Groometown Rd, High Point, High Point, NC 27263-9368 Ph: (336) 688-0928 | Douglas Blane Russell, PA 439 Us Hwy 158 West, Yanceyville, NC 27379 Ph: (336) 694-1181 |
Miranda G Worley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 439 Us Highway 158 W, Yanceyville, NC 27379 Phone: 336-694-9331 Fax: 336-694-7511 | |
Mrs. Elin Jeannine Armeau-claggett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 439 Us Highway 158 W, Yanceyville, NC 27379 Phone: 336-694-9331 Fax: 336-694-7511 |