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Fatia A Russell
Prosthetist in Fayetteville, North Carolina
NPI 1356843379

Fatia A Russell is a Prosthetist based in Fayetteville, NC. Fatia A Russell practices in Fayetteville, NC. The NPI Number for Fatia A Russell is 1356843379 and holds a License No. 108796 (North Carolina).

The current practice location address for Fatia A Russell is 6245 Lakehaven Dr, Fayetteville, NC and can be reached out via phone at 910-479-6214.

Location: 6245 Lakehaven Dr, Fayetteville, NC, 28304-0610
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Provider Profile Details
NPI Number
1356843379
Provider Name
Fatia A Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
6245 Lakehaven Dr, Fayetteville, NC, 28304-0610
Phone Number
910-479-6214
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
108796 05 NC
institution
Provider Business Practice Location Address Details
Address
6245 Lakehaven Dr
City
State
Zip
28304-0610
Phone Number
910-479-6214
Fax Number
person
Provider Business Mailing Address Details
Address
6245 Lakehaven Dr
City
State
Zip
28304-0610
Phone Number
910-479-6214
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
License No.
108796 (North Carolina)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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