Individual
DR. TANYA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 YADKIN ST, SUITE 303, ALBEMARLE, NC 28001-3449
(803) 532-2208
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 982-2683
(704) 512-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0574
SC
208000000X
Pediatrics Physician
2015-02335
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013906098
—
NC
Enumeration date
10/21/2005
Last updated
02/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us