Individual
MR. HOSSAN A HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 CHERAW ST., BENNETTSVILLE, SC 29512
(843) 454-0442
(843) 777-6871
Mailing address
PO BOX 918, BENNETTSVILLE, SC 29512-0918
(843) 454-0841
(815) 654-8020
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD23135
SC
207Q00000X
Family Medicine Physician
Primary
2017-00656
NC
207Q00000X
Family Medicine Physician
23135
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000270686
UNISON
SC
01
—
062
BCBS
SC
01
—
063
BCBS
SC
01
—
18500
EVOLUTIONS
SC
01
—
218077
MEDCOST
SC
05
—
231350
—
SC
05
—
405127
—
SC
01
—
7472114
CIGNA
SC
Enumeration date
12/20/2005
Last updated
03/27/2026
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