Courtney Adel Russo AU.D.

NPI 1598084105 - Audiologist - 231H00000X

NPI Details
NPI 1598084105
Gender Female
Enumeration Date 05/21/2010
Last Updated 09/03/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
200 PATEWOOD DR
SUITE B400
GREENVILLE SC, 29615-3593, US
Phone (864) 454-4368
Fax (864) 454-4348
Business Location
1 INDEPENDENCE PT
SUITE 212
GREENVILLE SC, 29615-4545, US
Phone (864) 797-6044
Fax
Toxanomy
Taxonomy Code 231H00000X
License State South Carolina
License Number 3965
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According to our database, Courtney Adel Russo AU.D. NPI is 1598084105, taxonomy code is 231H00000X and license number is 3965, license state is located at South Carolina. Courtney Adel Russo AU.D. physically located at 200 Patewood Dr, Greenville SC, 29615-3593. NPI Number Courtney Adel Russo AU.D. has the Individual type.

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1598084105 NPI number is provided on an as is basis without warranty of any kind. 1598084105 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Adel Russo AU.D. are for informational purposes only.