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COLLETON OTOLARYNGOLOGY, HEAD & NECK SURGERY, LLC
NPI 1235245812
Specialist in Walterboro, SC

Active since August 23, 2006
302 MEDICAL PARK DR, SUITE 211, WALTERBORO, SC 29488(843) 813-6397(866) 302-2249 Get Directions Write a Review

NPPES record last updated: February 4, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Colleton Otolaryngology, Head & Neck Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLETON OTOLARYNGOLOGY, HEAD & NECK SURGERY, LLC (NPI 1235245812) is a healthcare organization registered as a specialist in Walterboro, South Carolina and active in the NPI registry since August 2006. The organization lists Mark Pickett, Vice-president Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235245812
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOLLETON OTOLARYNGOLOGY, HEAD & NECK SURGERY, LLC
Location Address302 MEDICAL PARK DR, SUITE 211Walterboro, SC 29488-5747
Mailing Address302 Medical Park Dr, Suite 211Walterboro, SC 29488-5747 · (843) 813-6397 · Fax (866) 302-2249
Phone(843) 813-6397
Fax(866) 302-2249
Organization SubpartNo
Authorized OfficialMark PickettVice-president Of Operations · (678) 762-5037
Enumeration DateAugust 23, 2006
Last NPPES UpdateFebruary 4, 2008
✔ NPI 1235245812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
302 MEDICAL PARK DR, Walterboro, SC 29488
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Other Identifiers 1

Medicare PIN8705SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDISTO MULTISPECIALTY ASSOCIATES INC
Pediatrics
302 MEDICAL PARK DR, SUITE 211
WALTERBORO, SC 29488
Colleton County (843) 549-0787
DR. PHILLIP JEFFREY BOWER M.D.
Internal Medicine (Cardiovascular Disease)
302 MEDICAL PARK DR, SUITE 207
WALTERBORO, SC 29488
Colleton County (843) 782-2788
FETTER HEALTH CARE NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
302 MEDICAL PARK DR, SUITE 111
WALTERBORO, SC 29488
Colleton County (843) 549-6853
MRS. SHANNON SALYERS APRN
Nurse Practitioner (Adult Health)
302 MEDICAL PARK DR, SUITE 212
WALTERBORO, SC 29488
Colleton County (843) 782-4700
EDISTO ORTHOPAEDICS, PA
Orthopaedic Surgery
302 MEDICAL PARK DR, SUITE 111
WALTERBORO, SC 29488
Colleton County (843) 782-4141
COLLETON NEUROLOGY ASSOCIATES LLC
Psychiatry & Neurology (Neurology)
302 MEDICAL PARK DR, STE 210
WALTERBORO, SC 29488
Colleton County (843) 549-0795
FETTER HEALTH CARE NETWORK, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
302 MEDICAL PARK DR, SUITE 111
WALTERBORO, SC 29488
Colleton County (843) 549-6853

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleton Otolaryngology, Head & Neck Surgery, LLC's NPI number?

The NPI number for Colleton Otolaryngology, Head & Neck Surgery, LLC is 1235245812. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Colleton Otolaryngology, Head & Neck Surgery, LLC located?

Colleton Otolaryngology, Head & Neck Surgery, LLC is located at 302 Medical Park Dr Suite 211, Walterboro, SC 29488. The listed phone number is (843) 813-6397.

What is Colleton Otolaryngology, Head & Neck Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Colleton Otolaryngology, Head & Neck Surgery, LLC was last updated on February 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.