Individual
CLAIRE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL MSC 333, CHARLESTON, SC 29425
(843) 792-3451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D91491
MD
207Q00000X
Family Medicine Physician
LL52733
SC
208M00000X
Hospitalist Physician
Primary
D91491
MD
Other
Enumeration date
04/24/2018
Last updated
11/14/2022
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