Individual
DR. JOSEPH L. A. RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 863-1188
(843) 863-8286
Mailing address
2850 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 863-1188
(843) 863-8286
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
51474
SC
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Q6275
TX
Other
Enumeration date
05/11/2011
Last updated
10/06/2025
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