IndividualActive
Agnes Russell
NPI 1790193563 · Metabolic Nutrition Registered Dietitian · Winnsboro, SC
Provider details
- NPI number
- 1790193563
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 272 (SC)
Practice location
1136 Kincaid Bridge Rd
Winnsboro, SC 29180-7116
Phone: (803) 635-6481
Mailing address
211 W Liberty St
Winnsboro, SC 29180-1421
Registry dates
- Enumerated
- 2014-07-24
- Last updated
- 2014-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.