RUSSELL KEVIN DANIEL MD

Dr RUSSELL KEVIN DANIEL MD is a male medical professional, specializing in Anesthesiology. He graduated in 1984 from Medical College Of Georgia.

Contact

223 PARK AVE SE
AIKEN
SC
298014505

Tel: 8032260102

RUSSELL KEVIN DANIEL MD Information

Npi 1376540260
Pac Id 0749385755
Professional Enrollment Id I20070420000016
Last Name DANIEL
First Name RUSSELL
Middle Name KEVIN
Suffix
Gender M
Credential MD
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 1984
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1 INTERVENTIONAL PAIN MANAGEMENT
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties INTERVENTIONAL PAIN MANAGEMENT
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 223 PARK AVE SE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City AIKEN
State SC
Zip Code 298014505
Phone Number 8032260102
Hospital Affiliation Ccn 1 420082
Hospital Affiliation Lbn 1 AIKEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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