Fatia A Russell
Prosthetist
6245 Lakehaven Dr
Fayetteville
, North Carolina 28304-0610
Fatia A Russell
Prosthetist
6245 Lakehaven Dr
Fayetteville
, North Carolina 28304-0610
(910) 479-6214
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Fatia A Russell
- 6245 Lakehaven Dr
- Fayetteville, NC
- Zip : 28304-0610
- Phone : (910) 479-6214
Second Address
- Fatia A Russell
- 6245 Lakehaven Dr
- Fayetteville, NC
- Zip : 28304-0610
- Phone : (910) 479-6214
Reviews
FAQs
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What type of doctor is Fatia A Russell
In what state does Fatia A Russell practice in?
Where is Fatia A Russell ’s practice located?
What is Fatia A Russell ’s gender?
Is Fatia A Russell a sole practitioner?
Is Fatia A Russell accepting new patients?
What languages does Fatia A Russell speak?
Does Fatia A Russell accept insurance?
Does Fatia A Russell offers telemedicine?
What is Fatia A Russell ’s professional license number?
What is Fatia A Russell ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 108796 | NC |
National Provider Identifier
| NPI | 1356843379 |
|---|---|
| Provider Name | Fatia A Russell |
| First Address | Fayetteville, NC 28304-0610 |
| Second Address | Fayetteville, NC 28304-0610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2018 |
| Last Update Date | 31/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 108796 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.