Individual
ELISABETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
84727
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2017
Last updated
05/11/2021
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