Organization
HOPE REGIONAL MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMAURA RUSSELL MD (OWNER)
(252) 204-1331
Entity
Organization
Contact information
Practice address
546 W RIDGEWAY ST, WARRENTON, NC 27589-1716
(252) 242-1010
Mailing address
546 W RIDGEWAY ST, WARRENTON, NC 27589-1716
(252) 242-1010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
06/10/2019
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