Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Hyatt Russell, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114580487

Nicholas Hyatt Russell, MD is a Student in an Organized Health Care Education/Training Program in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2019.

Licensed in
SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

701 Grove Rd Fl 1
Greenville, SC 29605-4210
Phone: (644) 557-8998
Fax: (864) 455-5474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 87728 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114580487
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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