Russell L Derrick
Nuclear Medicine Specialist
300 Singleton Ridge Rd
Conway
, South Carolina 29526-9142
Russell L Derrick
Nuclear Medicine Specialist
300 Singleton Ridge Rd
Conway
, South Carolina 29526-9142
(843) 238-8660
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Russell L Derrick
- Po Box 51030
- Myrtle Beach, SC
- Zip : 29579-0018
- Phone : (843) 238-8660
Second Address
- Russell L Derrick
- 300 Singleton Ridge Rd
- Conway, SC
- Zip : 29526-9142
- Phone : (843) 238-8660
Reviews
FAQs
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In what state does Russell L Derrick practice in?
Where is Russell L Derrick ’s practice located?
What is Russell L Derrick ’s gender?
Is Russell L Derrick a sole practitioner?
Is Russell L Derrick accepting new patients?
What languages does Russell L Derrick speak?
Does Russell L Derrick accept insurance?
Does Russell L Derrick offers telemedicine?
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Does Russell L Derrick have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 19383 | SC |
National Provider Identifier
| NPI | 1457337941 |
|---|---|
| Provider Name | Russell L Derrick |
| First Address | Myrtle Beach, SC 29579-0018 |
| Second Address | Conway, SC 29526-9142 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/12/2005 |
| Last Update Date | 22/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G91039 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.