person
Mr. Steven L Russell, PA
Medical Physician Assistant in Charleston, South Carolina
NPI 1790873099

Steven L Russell is a Medical Physician Assistant based in Charleston, SC and is specialized in Medical. Steven L Russell practices in Charleston, SC and has the professional credentials of PA. The NPI Number for Steven L Russell is 1790873099 and holds a License No. A281 (South Carolina).

The current practice location address for Steven L Russell is 191 Rutledge Ave, Charleston, SC and can be reached out via phone at 843-723-1614 and via fax at 843-727-2980.

Location: 191 Rutledge Ave, Charleston, SC, 29403-5822
person
Provider Profile Details
NPI Number
1790873099
Provider Name
Steven L Russell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
191 Rutledge Ave, Charleston, SC, 29403-5822
Phone Number
843-723-1614
Fax Number
843-727-2980
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0264PA 05 SC
institution
Provider Business Practice Location Address Details
Address
191 Rutledge Ave
City
State
Zip
29403-5822
Phone Number
843-723-1614
Fax Number
843-727-2980
person
Provider Business Mailing Address Details
Address
191 Rutledge Ave
City
State
Zip
29403-5822
Phone Number
843-723-1614
Fax Number
843-727-2980
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A281 (South Carolina)
Definition
Definition to come...
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