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Organization
BLACK CREEK MEDICAL CONSULTANTS, LLC
Active
Organization
BLACK CREEK MEDICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORVILLE H DYCE (SURGEON)
(843) 383-5312
Entity
Organization
Contact information
Practice address
149 E CAROLINA AVE, HARTSVILLE, SC 29550-4213
(843) 383-5312
(843) 383-4516
Mailing address
149 E CAROLINA AVE, HARTSVILLE, SC 29550-4213
(843) 383-5312
(843) 383-4516
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
27632
SC
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
27632
SC
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
27632
SC
207YX0602X
Otolaryngic Allergy Physician
—
NULL
207YX0602X
Otolaryngic Allergy Physician
—
—
Other
Enumeration date
03/09/2015
Last updated
03/31/2026
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