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Contact Information

TOD S RUSSELL, MD
1050 JABARA AVE
SEYMOUR JOHNSON AFB
GOLDSBORO, NC27531-2310
 Phone: 919-722-0928
 Fax: 919-722-1952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for TOD S RUSSELL · (Male)

NPI # 1336164946
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD048688L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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