Basic Information
Provider Information
NPI: 1730365214
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HASSLER
FirstName: TERENCE
MiddleName: W
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 701 MEDICAL PARK DR
Address2: STE 305
City: HARTSVILLE
State: SC
PostalCode: 295504777
CountryCode: US
TelephoneNumber: 8433835191
FaxNumber: 8433322240
Practice Location
Address1: 700 MEDICAL PARK DR
Address2:  
City: HARTSVILLE
State: SC
PostalCode: 295504765
CountryCode: US
TelephoneNumber: 8433833742
FaxNumber: 8433833745
Other Information
ProviderEnumerationDate: 01/15/2008
LastUpdateDate: 09/01/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0005X16595SCN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000X16595SCY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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