Individual
JEREMY P HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 BAYLOR DR, SUITE 155, BLUFFTON, SC 29910-8965
(843) 682-7480
(843) 705-7034
Mailing address
272 BAMBERG DR, BLUFFTON, SC 29910-7400
(802) 370-2879
(843) 705-7034
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
042-0011130
VT
207X00000X
Orthopaedic Surgery Physician
Primary
2036552
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014109
—
VT
05
—
365526
—
SC
01
—
P00618356
RAILROAD MEDICARE
VT
Enumeration date
06/11/2006
Last updated
02/20/2015
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