Individual
CHARLES ROBERT HATCHER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MSCR
Contact information
Practice address
200 PATEWOOD DR STE A200, GREENVILLE, SC 29615-3580
(864) 454-5115
(864) 454-5111
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34386
SC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
34386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343863
—
SC
Enumeration date
06/28/2011
Last updated
06/30/2021
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