Individual
DR. RICHARD HENRY HUSSEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 21ST AVE N BLDG 2, MYRTLE BEACH, SC 29577-7514
(843) 449-9140
(843) 497-5110
Mailing address
1275 21ST AVE N BLDG 2, MYRTLE BEACH, SC 29577-7514
(843) 449-9140
(843) 497-5110
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19296
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203655134
TAX ID
SC
Enumeration date
06/09/2005
Last updated
01/30/2024
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