Organization
CAPE FEAR CENTER FOR MEDICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY O RUSSELL MD (PHYSICIAN)
(910) 343-0300
Entity
Organization
Contact information
Practice address
1222 MEDICAL CENTER DR, WILMINGTON, NC 28401-7332
(910) 343-0300
Mailing address
PO BOX 15009, WILMINGTON, NC 28408-5009
(910) 343-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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