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Christopher Russell
Student in an Organized Health Care Education/Training Program in Broadway, North Carolina
NPI 1720855208

Christopher Russell is a Student in an Organized Health Care Education/Training Program based in Broadway, NC. Christopher Russell practices in Broadway, NC. The NPI Number for Christopher Russell is 1720855208 and holds a License No. (North Carolina).

The current practice location address for Christopher Russell is 55 Eisenhower Ct, Broadway, NC and can be reached out via phone at 910-574-5279.

Location: 55 Eisenhower Ct, Broadway, NC, 27505-8116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720855208
Provider Name
Christopher Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
55 Eisenhower Ct, Broadway, NC, 27505-8116
Phone Number
910-574-5279
Fax Number
Provider Enumeration Date
12/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Eisenhower Ct
City
Broadway
State
North Carolina
Zip
27505-8116
Phone Number
910-574-5279
Fax Number
person
Provider Business Mailing Address Details
Address
55 Eisenhower Ct
City
Broadway
State
North Carolina
Zip
27505-8116
Phone Number
910-574-5279
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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