Individual
DR. EUGENE FAIRCHILD RUSSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3006 REDFORD DR, GREENSBORO, NC 27408-3116
(336) 288-2218
Mailing address
3006 REDFORD DR, GREENSBORO, NC 27408-3116
(336) 288-2218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
17481
VA
207V00000X
Obstetrics & Gynecology Physician
Primary
19540
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC 8974051
—
NC
Enumeration date
01/24/2006
Last updated
07/08/2007
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