Individual
RUSSELL HOWARD GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 QUEENS RD STE 500, CHARLOTTE, NC 28204-3215
(980) 302-6380
(980) 302-6385
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33055
NC
2083P0901X
Public Health & General Preventive Medicine Physician
33055
NC
208D00000X
General Practice Physician
33055
NC
Other
Enumeration date
08/08/2006
Last updated
06/15/2022
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