Organization
COLLETON MEDICAL ANESTHESIA, LLC
Active
Parent organization
WALTERBORO COMMUNITY HOSPITAL, INC D/B/A COLLETON MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTERBORO COMMUNITY HOSPITAL, INC D/B/A COLLETON MEDICAL CENTER
Authorized official
MR. H H THOMPSON (CHIEF FINANCIAL OFFICER)
(843) 782-2602
Entity
Organization
Contact information
Practice address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 782-2000
(843) 549-6254
Mailing address
501 ROBERTSON BLVD, WALTERBORO, SC 29488-2787
(843) 782-2000
(843) 549-6254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3871
—
SC
Enumeration date
06/19/2006
Last updated
07/13/2007
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