Russell, Mary C.

Russell, Mary C. is an individual health care provider with primary practice located at 301 Medical Park Dr Ste 202B, Concord NC 28025-2981. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Russell, Mary C. can be contacted via phone (704) 403-2626.

Contact Information

Primary practice address
301 Medical Park Dr Ste 202B Concord NC 28025-2981
Phone: (704) 403-2626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 2010-00892 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2010-00892 North Carolina

Profile Details

NPI number 1154396778
LBN Legal business name Russell, Mary C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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