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NPI Code Detail

MEDICARE: DR. COREY HASSELL MD

MEDICARE: DR. COREY HASSELL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianLL52800SC

General Provider Information

NPI Number : 1922593854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COREY HASSELL MD
Provider Business Mailing Address
First Line : 115 FAIRCHILD ST STE 170
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7602
Country : US
Telephone Number : 803-339-1563
Fax Number : 803-746-7902
Provider Business Practice Location Address
First Line : 115 FAIRCHILD ST STE 170
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7602
Country : US
Telephone Number : 803-339-1563
Fax Number : 803-746-7902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2018
Last Update Date : 06/12/2025

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Directions to “ DR. COREY HASSELL MD” Practice Location

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