# BLACK CREEK MEDICAL CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245623792
- **Authorized official:** ORVILLE H DYCE (SURGEON)
- **Authorized official phone:** (843) 383-5312

## Contact information

- **Practice address:** 149 E CAROLINA AVE, HARTSVILLE, SC 29550-4213
- **Practice address phone:** (843) 383-5312
- **Practice address fax:** (843) 383-4516
- **Mailing address:** 149 E CAROLINA AVE, HARTSVILLE, SC 29550-4213
- **Mailing address phone:** (843) 383-5312
- **Mailing address fax:** (843) 383-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | 27632 | SC | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 27632 | SC | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | NULL | Yes |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | — | — | Yes |
| 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