DR. Sam O Russell III, OD
NPI #1063479111 in Florence, South Carolina
Provider Information
- NPI Number
- 1063479111
- Entity Type
- Individual
- Name
- DR. Sam O Russell III, OD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- May 1, 2006
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 240 W EVANS ST
- City
- Florence
- State
- South Carolina
- ZIP Code
- 29501-3428
- Phone
- (843) 662-3278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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