Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 556 | SC |
NPI | 1083689400 |
---|---|
Provider Name | William Hal Hatchett |
First Address | Summerville, SC 29485-8104 |
Second Address | Summerville, SC 29485-8104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 16/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00331715 | RR MEDICARE (01) | SC |
PD5561 | (05) | SC |
U94809 | (02) | SC |