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NPI Code Detail

MEDICARE: ELIZABETH ANN RUSSELL

MEDICARE: ELIZABETH ANN RUSSELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAL

General Provider Information

NPI Number : 1134061724
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN RUSSELL
Provider Business Mailing Address
First Line : 9 GRIFFITH HILL WAY
Second Line :
City : GREER
State : SC
Zip : 29651-2308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 MEDICAL PARK DR E
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3401
Country : US
Telephone Number : 205-838-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ ELIZABETH ANN RUSSELL ” Practice Location

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