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Individual

RUSSELL ELLIS SIMERLY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7000
Mailing address
3948 MILGRAY LN, JOHNS ISLAND, SC 29455-7750

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60270
SC

Other

Enumeration date
07/10/2023
Last updated
08/07/2024
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