Organization
RUSSELL G. GADDY M.D.
Active
Organization
RUSSELL G. GADDY M.D.
Active
Other names
WINCHESTER FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL G. GADDY MD (DR)
(864) 458-9999
Entity
Organization
Contact information
Practice address
10 WINCHESTER CT, MAULDIN, SC 29662-2627
(864) 458-9999
(864) 234-7652
Mailing address
10 WINCHESTER CT, MAULDIN, SC 29662-2627
(864) 458-9999
(864) 234-7652
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
007870
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007870
—
SC
01
—
207QG0300X
TAXONOMY CODE
SC
01
—
CM7824
MEDICARE RAILROAD
SC
Enumeration date
10/18/2007
Last updated
01/07/2013
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