Russell, Martha Kathleen

Russell, Martha Kathleen is an individual health care provider with primary practice located at 146 East Hospital Dr 140, West Columbia SC 29169-4800. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Russell, Martha Kathleen can be contacted via phone (803) 936-7230.

Contact Information

Primary practice address
146 East Hospital Dr 140 West Columbia SC 29169-4800
Phone: (803) 936-7230
Fax: (803) 936-8097
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 20237 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 20237 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 20237 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20237 South Carolina

Profile Details

NPI number 1851744130
LBN Legal business name Russell, Martha Kathleen
Credentials AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Nov 11th, 2020 - about 4 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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