person
Russell Frank Stahl, MD
Specialist in Myrtle Beach, South Carolina
NPI 1760478242

Russell Frank Stahl is a Specialist based in Myrtle Beach, SC. Russell Frank Stahl practices in Myrtle Beach, SC and has the professional credentials of MD. The NPI Number for Russell Frank Stahl is 1760478242 and holds a License No. 39914 (South Carolina).

The current practice location address for Russell Frank Stahl is 920 Doug White Dr Ste 510, Myrtle Beach, SC and can be reached out via phone at 843-497-7772 and via fax at 843-848-7530. You can also correspond with Russell Frank Stahl through the mailing address at 920 DOUG WHITE DR STE 510, MYRTLE BEACH, SC - 29572-4183 (mailing address contact number: 843-497-7772).

Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC, 29572-4183
person
Provider Profile Details
NPI Number
1760478242
Provider Name
Russell Frank Stahl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
920 Doug White Dr Ste 510, Myrtle Beach, SC, 29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0016335280009 05 PA
01633528 05 PA
institution
Provider Business Practice Location Address Details
Address
920 Doug White Dr Ste 510
City
State
Zip
29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
person
Provider Business Mailing Address Details
Address
920 Doug White Dr Ste 510
City
State
Zip
29572-4183
Phone Number
843-497-7772
Fax Number
843-848-7530
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
39914 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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