LUKE ANDREW RUSSELL

COLUMBIA, SC
NPI1407366453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  5749)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-10-04
Last Update Date2025-10-28
Business Address
LUKE ANDREW RUSSELL PA
14 RICHLAND MEDICAL PARK DR STE 350
COLUMBIA, SC 29203-6896
Phone number: 803-434-1663
Mailing Address
LUKE ANDREW RUSSELL PA
300 E MCBEE AVE STE 300
GREENVILLE, SC 29601-2899
Phone number: 864-522-8603
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