person
Russell Ellis Simerly III
Student in an Organized Health Care Education/Training Program in Charleston, South Carolina
NPI 1750069738

Russell Ellis Simerly III is a Student in an Organized Health Care Education/Training Program based in Johns Island, SC. Russell Ellis Simerly III practices in Charleston, SC. The NPI Number for Russell Ellis Simerly III is 1750069738 and holds a License No. I-48948 (South Carolina).

The current practice location address for Russell Ellis Simerly III is 3865 W Ashley Cir, Charleston, SC and can be reached out via phone at 843-619-2921.

Location: 3865 W Ashley Cir, Charleston, SC, 29455-7750
person
Provider Profile Details
NPI Number
1750069738
Provider Name
Russell Ellis Simerly III
Credential
Provider Entity Type
Individual
Gender
Male
Address
3865 W Ashley Cir, Charleston, SC, 29455-7750
Phone Number
843-619-2921
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3865 W Ashley Cir
City
State
Zip
29414-9207
Phone Number
843-619-2921
Fax Number
person
Provider Business Mailing Address Details
Address
3865 W Ashley Cir
City
State
Zip
29414-9207
Phone Number
843-619-2921
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
I-48948 (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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