Individual
DR. RUSSELL S. EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
277 B WILLBROOK BLVD, PAWLEYS ISLAND, SC 29585
(843) 235-9780
(843) 235-8444
Mailing address
277 B WILLBROOK BLVD, P. O. BOX 4776, PAWLEYS ISLAND, SC 29585
(843) 235-9780
(843) 235-8444
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3662
SC
Other
Enumeration date
05/04/2006
Last updated
10/31/2007
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