Individual provider · Type 1 NPI
Steven L. Russell, PA
Medical Physician Assistant · Charleston, SC
NPI number
1790873099
Active
Practice location
191 Rutledge Ave
Charleston, SC 29403-5822
Fax (843) 727-2980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | A281 (SC) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
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- Kathryn Faith Meltzer, PA-CMedical Physician Assistant Charleston, SC NPI 1043552078
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About NPI 1790873099
Steven L. Russell, PA's National Provider Identifier is 1790873099, issued on Oct 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, SC. The record was last updated on Jul 9, 2007.