Healthcare Provider Details
I. General information
NPI: 1972097970
Provider Name (Legal Business Name): HAMPTON BROOKS SASSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/21/2018
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
171 ASHLEY AVE
CHARLESTON SC
29425-8908
US
IV. Provider business mailing address
PO BOX 751461
CHARLOTTE NC
28275-1461
US
V. Phone/Fax
- Phone: 843-792-1414
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | 52739 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RT0003X |
| Taxonomy | Transplant Hepatology Physician |
| License Number | 52739 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: