Individual
RUSSELL BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3227 SUNSET BLVD STE F102, WEST COLUMBIA, SC 29169-3201
(803) 724-2336
Mailing address
136 MEANDER LN, LEXINGTON, SC 29072-7192
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4419
SC
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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