Individual
MS. JEWEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
78 DOODLE HILL RD, SAINT MATTHEWS, SC 29135-8201
(803) 535-9653
(803) 874-2660
Mailing address
78 DOODLE HILL RD, SAINT MATTHEWS, SC 29135-8201
(803) 535-9653
(803) 874-2660
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
SC
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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