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Contact Information

MARK W RUSSO, MD
1126 N CHURCH ST
STE 201
GREENSBORO, NC27401-1000
 Phone: 336-235-0866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transplant Hepatology

207RT0003X 11 Physician/Internal Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK W RUSSO · (Male)

NPI Number 1588745392
Status Active
Credentials MD
Entity Individual
Enumeration date 10/18/2006
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 9500209
Hospital affiliation(s)
  • CAROLINAS MEDICAL CENTER-LINCOLN - (Acute Care)
    433 MCALISTER RD
    LINCOLNTON, NC 28092
  • CAROLINAS MEDICAL CENTER/BEHAV HEALTH - (Acute Care)
    1000 BLYTHE BLVD
    CHARLOTTE, NC 28203
  • CLEVELAND REGIONAL MEDICAL CENTER - (Acute Care)
    201 E GROVER ST
    SHELBY, NC 28150
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
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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