Individual provider · Type 1 NPI

Russell L. Derrick, MD

Diagnostic Radiology Physician · Conway, SC

NPI number 1457337941 Active

Practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Call (843) 238-8660 Map

Mailing address

PO Box 51030
Myrtle Beach, SC 29579-0018

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician 2085N0700X19383 (SC)
Body Imaging Physician 2085B0100X19383 (SC)
Diagnostic Neuroimaging (Radiology) Physician 2085D0003X19383 (SC)
Diagnostic Ultrasound Physician 2085U0001X19383 (SC)
Diagnostic Radiology Physician Primary 2085R0202X19383 (SC)
Vascular & Interventional Radiology Physician 2085R0204X19383 (SC)
Nuclear Radiology Physician 2085N0904X19383 (SC)
Pediatric Radiology Physician 2085P0229X19383 (SC)
Radiation Oncology Physician 2085R0001X19383 (SC)
Radiological Physics Physician 2085R0205X19383 (SC)
Therapeutic Radiology Physician 2085R0203X19383 (SC)
Nuclear Medicine Physician 207U00000X19383 (SC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1457337941

Russell L. Derrick, MD's National Provider Identifier is 1457337941, issued on Dec 16, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Conway, SC. The record was last updated on Nov 22, 2013.