Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AGNES MACFIE RUSSELL
Active Sole ProprietorAGNES MACFIE RUSSELL is a Metabolic Nutrition healthcare provider located in WINNSBORO, South Carolina. NPI 1790193563 is currently active in the NPPES registry. Verify at CMS.
Metabolic Nutrition · WINNSBORO, SC
Registration Details
- NPI Number
- 1790193563
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 24, 2014 (12.013176559008 yrs)
- Last Updated
- Jul 24, 2014
- License
-
272 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1136 KINCAID BRIDGE RDWINNSBORO, SC, 291807116Browse SC providers · Browse ZIP 29180
- Phone
- 8036356481
- Primary Specialty
-
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.