Healthcare Provider Details

I. General information

NPI: 1306130307
Provider Name (Legal Business Name): DUSTIN S HAMBRIGHT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 LEONARD FULGHUM DR STE 101
MOUNT PLEASANT SC
29464-3793
US

IV. Provider business mailing address

9100 MEDCOM ST
N CHARLESTON SC
29406-9167
US

V. Phone/Fax

Practice location:
  • Phone: 843-971-9350
  • Fax:
Mailing address:
  • Phone: 843-414-6966
  • Fax: 843-764-3577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number2016011872
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number40692
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: