Russell, Cheryl Anderson

Russell, Cheryl Anderson is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526-8903. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russell, Cheryl Anderson can be contacted via phone (843) 347-5060.

Contact Information

Primary practice address
164 Waccamaw Medical Park Dr Conway SC 29526-8903
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1881610368
LBN Legal business name Russell, Cheryl Anderson
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jul 8th, 2007 - about 17 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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