Organization
COASTAL CAROLINA PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HAL HATCHETT DPM (PRESIDENT)
(843) 851-9069
Entity
Organization
Contact information
Practice address
4340 LADSON RD, SUITE C, LADSON, SC 29456-6444
(843) 851-9069
Mailing address
4340 LADSON RD, SUITE C, LADSON, SC 29456-6444
(843) 851-9069
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
556
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0094
RR MEDICARE
SC
05
—
PD5561
—
SC
Enumeration date
08/08/2006
Last updated
02/20/2017
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