Organization
COLLETON AMBULATORY CARE, LLC
Active
Other names
Colleton Ambulatory Surgery, HCA Healthcare Colleton Ambulatory Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERON SMITH III (ADMINISTRATOR)
(843) 782-2610
Entity
Organization
Contact information
Practice address
304 MEDICAL PARK DR, WALTERBORO, SC 29488-5743
(843) 782-2700
(843) 782-2701
Mailing address
304 MEDICAL PARK DR, WALTERBORO, SC 29488-5743
(843) 782-2700
(843) 782-2701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC014
—
SC
Enumeration date
07/05/2006
Last updated
10/01/2025
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