Colleton Otolaryngology, Head & Neck Surgery, LLC
NPI #1235245812 in Walterboro, South Carolina
Provider Information
- NPI Number
- 1235245812
- Entity Type
- Organization
- Organization Name
- Colleton Otolaryngology, Head & Neck Surgery, LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 23, 2006
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 302 MEDICAL PARK DR
- Address 2
- SUITE 211
- City
- Walterboro
- State
- South Carolina
- ZIP Code
- 29488-5747
- Phone
- (843) 813-6397
Authorized Official
- Name
- MARK PICKETT
- Title
- VICE-PRESIDENT OF OPERATIONS
- Phone
- (678) 762-5037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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