Individual
MRS. DAWN RENEE' RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP
Contact information
Practice address
10706 CLEMSON BLVD, SENECA, SC 29678-4528
(864) 888-3020
(864) 888-8585
Mailing address
10706 CLEMSON BLVD, SENECA, SC 29678-4528
(864) 888-3020
(864) 888-8585
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3310
SC
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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