Provider Demographics
NPI:1083689400
Name:HATCHETT, WILLIAM HAL (DPM)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HAL
Last Name:HATCHETT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 MIDLAND PKWY # B
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8104
Mailing Address - Country:US
Mailing Address - Phone:843-851-9069
Mailing Address - Fax:843-871-8248
Practice Address - Street 1:299 MIDLAND PKWY # B
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8104
Practice Address - Country:US
Practice Address - Phone:843-851-9069
Practice Address - Fax:843-871-8248
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC556213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00331715OtherRR MEDICARE
SCPD5561Medicaid
SCPD5561Medicaid
SCP00331715OtherRR MEDICARE
SCU948098550Medicare PIN
SCU948095062Medicare ID - Type UnspecifiedSC MEDICARE