AGNES MACFIE RUSSELL NPI 1790193563

NPI Information

  • NPI: 1790193563
  • Provider Name: AGNES MACFIE RUSSELL
  • Classification: Dietitian, Registered - 133VN1006X
  • Specialization: Nutrition, Metabolic
  • Entity Type: Individual
  • Address: 1136 KINCAID BRIDGE RD
    WINNSBORO, SC
    ZIP 29180
  • Phone: (803) 635-6481

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NPI Details

Agnes Macfie Russell is a nutrition and metabolic dietitian registered in Winnsboro, SC. The provider is a registered dietitian who achieves specialized competency in metabolic nutrition. Agnes Macfie Russell NPI is 1790193563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1136 KINCAID BRIDGE RD
WINNSBORO, SC
ZIP 29180-116
Phone: (803) 635-6481

The enumeration date for this NPI number is 7/24/2014 and was last updated on 7/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1006XDietitian, RegisteredNutrition, Metabolic272SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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