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Doris A Moore Russell

Female

Medical Specialty

Clinical Social Worker

Professional ID

NPI: 1255321592
PECOS ID: 8224022470
Enrollment ID: I20040412001021
Credential(MD, DO, DPM): CSW
Medical School:
Medical School Graduation Year: 1986

Medical Practices

Organization Name: New Beginnings Behavioral Health Services, Llc
Group Practice ID assigned by PECOS: 4385820919
Number of Group Practice member: 0

Location

Address1: 111 Lamon St
Address2: Suite 222
City: Fayetteville
State: North Carolina
Zip Code: 28301
Phone Number: (910)429-2222

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR):