SearchNorth Carolina363A00000X

Russell Davis, PA

NPI 1669119145 · on the registry since 2022

Practice

Address
7210 Village Medical Cir Ste 110
Clemmons, NC 27012
Phone
(336) 893-2400
Fax
(336) 893-2410
Organisation at this address
Foundation Health Systems Corp
Novant Health Medical Group Llc
Novant Health Medical Group, Llc
Novant Health Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Additional practice sites

  • Medical Center Blvd, Winston Salem, NC

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina