Amanda Russell
Amanda Russell is a Family Practice in Dinwiddie, Virginia. Graduated from Eastern Virginia Medical School in 2015, 11 years ago. Practices with Southern Dominion Health System Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 11
- Trained at
- Eastern Virginia Medical School
- Licensed in
- VA
- In the registry since
- 2015
Practice location Address checks out
13855 Courthouse RdDinwiddie, VA 23841-2254
Phone: (804) 469-3731
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 0101264538 (VA) |
|---|
Record details
| NPI number | 1114312295 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2015 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduated | 2015 (11 years in practice) |
| Group practice | Southern Dominion Health System Inc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Dinwiddie
-
Dr. Hyo Kwon Park, DO
13855 Courthouse Rd, Dinwiddie, VA 23841-2254 · (804) 469-3731