Healthcare Provider Details

I. General information

NPI: 1952403446
Provider Name (Legal Business Name): MARTA TORUNO HAMPTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 SAINT ANDREWS BLVD
CHARLESTON SC
29407-7174
US

IV. Provider business mailing address

PO BOX 31757
CHARLESTON SC
29417-1757
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-9200
  • Fax: 843-402-9700
Mailing address:
  • Phone: 843-402-9200
  • Fax: 843-402-9700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number13500
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: