Individual
DONALD WAYNE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
14 MCDOWELL ST, ASHEVILLE, NC 28801-4104
(828) 255-3749
(828) 254-9925
Mailing address
PO BOX 2445, SKYLAND, NC 28776-2445
(828) 575-2644
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
38683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146366A
MEDICARE PTAN
NC
05
—
8974027
—
NC
Enumeration date
10/27/2005
Last updated
11/12/2015
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