Demaura H Russell
HOPE REGIONAL MEDICAL CLINIC


Address: 546 W Ridgeway St, Warrenton, NC 27589-1716
Phone: 2522421010

Demaura H Russell (NPI# 1114218492, PAC ID# 1456585066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1114218492
PAC ID by PECOS 1456585066
Professional Enrollment ID I20131015001779
Full Name Demaura H Russell
Organization Legal Name HOPE REGIONAL MEDICAL CLINIC
Address 546 W Ridgeway St
Warrenton
NC 27589-1716
Phone Number 2522421010
Gender F
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2961735873
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
340159 PERSON MEMORIAL HOSPITAL
340132 MARIA PARHAM MEDICAL CENTER

Other Locations

Address Phone Organization
315 Franklin Plz, Louisburg, NC 27549-2765 9194964976 IMPACT HEALTHCARE, P.A.
546 W Ridgeway St, Warrenton, NC 27589-1716 2522421010 HOPE REGIONAL MEDICAL CLINIC

Organization Information

Organization Legal Name HOPE REGIONAL MEDICAL CLINIC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Latisha Darsha Patterson Physician Assistant Hope Regional Medical Clinic 546 W Ridgeway St, Warrenton, NC 27589-1716

Office Location

Street Address 546 W RIDGEWAY ST
City WARRENTON
State NC
Zip 27589-1716

Physicians in the same location

Name Specialty Organization Address
Latisha Darsha Patterson Physician Assistant Hope Regional Medical Clinic 546 W Ridgeway St, Warrenton, NC 27589-1716

Physicians in the same zip code

Name Specialty Organization Address
Yvette R Douglas-lewis Family Practice Warrenton Family Practice, Pllc 163 Christmas Rd, Warrenton, NC 27589-8723

Competitor

Search similar physicians

City WARRENTON
Zip Code 27589
Specialty FAMILY MEDICINE
City + Specialty WARRENTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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