Individual
DR. LEE DAVID RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1175 FOLLY RD STE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237
Mailing address
1175 FOLLY RD STE E, CHARLESTON, SC 29412-4130
(843) 225-1236
(843) 225-1237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3605
SC
Other
Enumeration date
05/17/2007
Last updated
01/14/2015
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