# COLLETON AMBULATORY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colleton Ambulatory Surgery, HCA Healthcare Colleton Ambulatory Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114957891
- **Authorized official:** MR. DERON SMITH III (ADMINISTRATOR)
- **Authorized official phone:** (843) 782-2610

## Contact information

- **Practice address:** 304 MEDICAL PARK DR, WALTERBORO, SC 29488-5743
- **Practice address phone:** (843) 782-2700
- **Practice address fax:** (843) 782-2701
- **Mailing address:** 304 MEDICAL PARK DR, WALTERBORO, SC 29488-5743
- **Mailing address phone:** (843) 782-2700
- **Mailing address fax:** (843) 782-2701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF-035 | SC | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 10/01/2025