IndividualActive
Mark Russell
NPI 1982773529 · MOHS-Micrographic Surgery Physician · Charlottesville, VA
Provider details
- NPI number
- 1982773529
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 0101230382 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1221 Lee St
Charlottesville, VA 22908-0001
Phone: (434) 924-5115
Fax: (434) 244-4504
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 9007
Charlottesville, VA 22906-9007
Additional practice locations (1)
- 1215 Lee StCharlottesville, VA 22908-0001Phone: (434) 924-0211
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2025-09-02
- Certified
- 2025-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.