Search › South Carolina › 103TC0700X
Kelly Russo, PH.D
NPI 1265664734 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1767 Village Park Dr
Orangeburg, SC 29118 - Phone
- (803) 776-4000
- Fax
- (803) 536-1719
- Organisation at this address
- Singleton Health Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina