Mcmurry, Russell Dale

Mcmurry, Russell Dale is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Mcmurry, Russell Dale can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1616 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1616 South Carolina

Profile Details

NPI number 1770698235
LBN Legal business name Mcmurry, Russell Dale
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770698235 NPPES
South Carolina MEDICAID NP0584

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