Individual
ALLISON RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
212 PROVIDENCE GLEN DR, CHAPEL HILL, NC 27514-6992
(617) 697-2041
Mailing address
212 PROVIDENCE GLEN DR, CHAPEL HILL, NC 27514-6992
(617) 697-2041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
01/04/2024
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