Individual
MS. ABBY ROBB RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 420-4942
Mailing address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 420-4942
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
722
SC
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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