Individual
RUSSELL K DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 SOCIETY HILL DR STE 202, AIKEN, SC 29803-1755
(803) 226-0102
Mailing address
440 SOCIETY HILL DR STE 100A, AIKEN, SC 29803-1755
(803) 226-0102
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13779
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137792
—
SC
Enumeration date
07/07/2005
Last updated
10/06/2022
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