Individual
SARAH BRICE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52723
SC
2085R0001X
Radiation Oncology Physician
LL52723
SC
Other
Enumeration date
05/01/2018
Last updated
08/12/2025
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