Organization
WALTERBORO ADULT AND PEDIATRIC MEDICINE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GLENN CREEL M.D. (CEO)
(843) 549-6331
Entity
Organization
Contact information
Practice address
447 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-6331
(843) 549-6332
Mailing address
447 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-6331
(843) 549-6332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3911
—
SC
Enumeration date
12/21/2005
Last updated
04/08/2026
Update your record
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