Organization
COLLETON NEUROLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PICKETT (VP)
(843) 549-0795
Entity
Organization
Contact information
Practice address
302 MEDICAL PARK DR, STE 210, WALTERBORO, SC 29488-5747
(843) 549-0795
(843) 542-2920
Mailing address
302 MEDICAL PARK DR, STE 210, WALTERBORO, SC 29488-5747
(843) 549-0795
(843) 542-2920
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
01/24/2008
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