Individual
RICHARD L HUSSONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 HOSPITAL CENTER COMMON, SUITE 100, HILTON HEAD, SC 29926
(843) 681-9489
(843) 681-4502
Mailing address
25 HOSPITAL CENTER COMMON, SUITE 100, HILTON HEAD, SC 29926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23407
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234071
—
SC
Enumeration date
05/04/2006
Last updated
03/10/2008
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