Healthcare Provider Details

I. General information

NPI: 1164334603
Provider Name (Legal Business Name): MICHAEL ANDREW HATCHELL RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 MIDLAND PKWY
SUMMERVILLE SC
29485-8104
US

IV. Provider business mailing address

1259 WILD GOOSE TRL
SUMMERVILLE SC
29483-8023
US

V. Phone/Fax

Practice location:
  • Phone: 803-608-5215
  • Fax:
Mailing address:
  • Phone: 803-608-5215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number7868
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: