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Contact Information

SAMUEL HAZELL, MD
1859 SAVAGE RD
CHARLESTON, SC29407-4726
 Phone: 843-723-2835
 Fax: 843-722-8948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SAMUEL HAZELL · (Male)

NPI Number 1700988623
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 02/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 10048
  • SC Medicaid 100483
  • Other P00879497 RR MEDICARE RSFP
  • SC Other GP4953 MEDICAID GROUP
  • SC Other 5551 MEDICARE GROUP #
  • SC Other P00638310 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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