Individual provider · Type 1 NPI

Douglas Blane Russell, PA

Physician Assistant · Yanceyville, NC

NPI number 1487617619 Active

Practice location

439 US Hwy 158 West
Yanceyville, NC 27379

Mailing address

5610 Groometown Rd, High Point
High Point, NC 27263-9368

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X103359 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487617619

Douglas Blane Russell, PA's National Provider Identifier is 1487617619, issued on Apr 10, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Yanceyville, NC. The record was last updated on Oct 5, 2022.