Russell L Derrick, MD
Russell L Derrick, MD is a Diagnostic Radiology in Conway, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 1995, 31 years ago. Practices with Carolina Radiology Associates LLC, a 63-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 31
- Trained at
- Medical University of South Carolina College of Medicine
- Licensed in
- SC
- In the registry since
- 2005
- Specialties on file
- 12
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
300 Singleton Ridge RdConway, SC 29526-9142
Phone: (843) 238-8660
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 19383 (SC) |
|---|---|
| Neuroradiology Physician | Taxonomy 2085N0700X · Licence 19383 (SC) |
| Body Imaging Physician | Taxonomy 2085B0100X · Licence 19383 (SC) |
| Diagnostic Neuroimaging (Radiology) Physician | Taxonomy 2085D0003X · Licence 19383 (SC) |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence 19383 (SC) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 19383 (SC) |
| Nuclear Radiology Physician | Taxonomy 2085N0904X · Licence 19383 (SC) |
| Pediatric Radiology Physician | Taxonomy 2085P0229X · Licence 19383 (SC) |
| Radiation Oncology Physician | Taxonomy 2085R0001X · Licence 19383 (SC) |
| Radiological Physics Physician | Taxonomy 2085R0205X · Licence 19383 (SC) |
| Therapeutic Radiology Physician | Taxonomy 2085R0203X · Licence 19383 (SC) |
| Nuclear Medicine Physician | Taxonomy 207U00000X · Licence 19383 (SC) |
Record details
| NPI number | 1457337941 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 16, 2005 |
| Last updated in NPPES | November 22, 2013 |
| Mailing address | Po Box 51030, Myrtle Beach, SC 29579-0018 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | Carolina Radiology Associates Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |