Individual
RUSSELL RAYMOND WILFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
137 MEDICAL LN, POLLOCKSVILLE, NC 28573-8200
(252) 633-1010
(252) 224-3071
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 633-1010
(252) 224-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2014-01345
NC
208M00000X
Hospitalist Physician
2014-01345
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2011
Last updated
01/22/2025
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