Charles Robert Hatcher Iii, MD, MSCR | |
200 Patewood Dr Ste A200, Greenville, SC 29615-3580 | |
(864) 454-5115 | |
(864) 454-5111 |
Full Name | Charles Robert Hatcher Iii |
---|---|
Gender | Male |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 200 Patewood Dr Ste A200, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275829236 | NPI | - | NPPES |
343863 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 34386 (South Carolina) | Secondary |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 34386 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Greenville Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
Mailing Address | Practice Location Address |
---|---|
Charles Robert Hatcher Iii, MD, MSCR 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Charles Robert Hatcher Iii, MD, MSCR 200 Patewood Dr Ste A200, Greenville, SC 29615-3580 Ph: (864) 454-5115 |
Angela Murray Young, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211 | |
Mata Adams, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895 | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233 | |
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211 | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164 | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961 | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848 |