Agnes Macfie Russell, is a
Dietitian, Registered - Nutrition, Metabolic based in Winnsboro, South Carolina. Agnes Macfie Russell is licensed to practice in South Carolina (license number 272) and her current practice location is
1136 Kincaid Bridge Rd, Winnsboro, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 635-6481.
NPI number for Agnes Macfie Russell is 1790193563 and her current mailing address is 211 W Liberty St, Winnsboro, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790193563.
Healthcare Provider's Profile
Full Name | Agnes Macfie Russell |
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Gender | Female |
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Speciality | Dietitian, Registered - Nutrition, Metabolic |
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Location | 1136 Kincaid Bridge Rd, Winnsboro, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790193563
- Provider Enumeration Date: 07/24/2014
- Last Update Date: 07/24/2014
Medical Identifiers
Medical identifiers for Agnes Macfie Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790193563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 272 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agnes Macfie Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Agnes Macfie Russell, 211 W Liberty St, Winnsboro, SC 29180-1421 Ph: (803) 635-6481 | Agnes Macfie Russell, 1136 Kincaid Bridge Rd, Winnsboro, SC 29180-7116 Ph: (803) 635-6481 |
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