Individual provider · Type 1 NPI
Joseph L. A. Russell, MD
Otolaryngology/Facial Plastic Surgery Physician · North Charleston, SC
NPI number
1578855433
Active
Practice location
2850 Tricom St
North Charleston, SC 29406-9171
Fax (843) 863-8286
Other practice locations
- 1500 S Main St, Fort Worth, TX 76104-4917 · (817) 702-1100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | Q6275 (TX) |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 51474 (SC) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
5 other providers at this address
- Charleston Surgical Consultants, LLCOtolaryngology/Facial Plastic Surgery Physician North Charleston, SC NPI 1629966460
- Low Country Ent PASpecialist North Charleston, SC NPI 1740478288
- Debra Anne Mack, PA-CPhysician Assistant North Charleston, SC NPI 1598300840
- Julie T. Malka, AUDIOLOGISTAudiologist North Charleston, SC NPI 1467627471
- Savannah Halter, PA-CPhysician Assistant North Charleston, SC NPI 1437923075
About NPI 1578855433
Joseph L. A. Russell, MD's National Provider Identifier is 1578855433, issued on May 11, 2011. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in North Charleston, SC. The record was last updated on Oct 6, 2025.