STEVEN L RUSSELL

CHARLESTON, SC
NPI1790873099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SC  a281)
Enumeration Date2006-10-11
Last Update Date2007-07-09
Business Address
Mr. STEVEN L RUSSELL pa
191 RUTLEDGE AVE
CHARLESTON, SC 29403-5822
Phone number: 843-723-1614
Mailing Address
Mr. STEVEN L RUSSELL pa
191 RUTLEDGE AVE
CHARLESTON, SC 29403-5822
Phone number: 843-723-1614
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