Organization
COASTAL CAROLINA PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HAL HATCHETT (PRESIDENT)
(843) 851-9069
Entity
Organization
Contact information
Practice address
299 MIDLAND PKWY # B, SUMMERVILLE, SC 29485-8104
(843) 851-9069
(843) 871-8248
Mailing address
299 MIDLAND PKWY # B, SUMMERVILLE, SC 29485-8104
(843) 851-9069
(843) 871-8248
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0556
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM2497
RAIL ROAD
SC
01
—
DF0094
RR MEDICARE
—
05
—
PD5561
—
SC
Enumeration date
05/09/2007
Last updated
04/20/2008
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