Individual
ANNEMARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
428 BILTMORE AVE, ASHEVILLE, NC 28801-4502
(828) 213-5253
Mailing address
PO BOX 15268, ASHEVILLE, NC 28813-0268
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9901015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912357
—
NC
Enumeration date
05/22/2006
Last updated
07/08/2007
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