Individual
MEGAN DONNALLEY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
217529
SC
367500000X
Certified Registered Nurse Anesthetist
110912
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
20223
SC
Other
Enumeration date
05/17/2016
Last updated
02/23/2022
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