Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Peter Russo, ATC, SCAT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013376649

Mr. Andrew Peter Russo, ATC, SCAT is a Student in an Organized Health Care Education/Training Program in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

301 Meeting St
Charleston, SC 29424-1552
Phone: (757) 635-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2043 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013376649
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , SCAT
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESFebruary 8, 2018

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