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BLACK CREEK MEDICAL CONSULTANTS LLC NPI 1245623792


NPI Information

NPI: 1245623792
Provider Name: BLACK CREEK MEDICAL CONSULTANTS, LLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
696 MEDICAL PARK DR
HARTSVILLE, SC
ZIP 29550
Phone: (843) 383-5312
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BLACK CREEK MEDICAL CONSULTANTS, LLC is an otolaryngology in Hartsville, SC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. BLACK CREEK MEDICAL CONSULTANTS, LLC NPI is 1245623792. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

696 MEDICAL PARK DR
HARTSVILLE, SC
ZIP 29550-782
Phone: (843) 383-5312
Fax: (843) 383-4516

The provider's authorized official is Orville Hugh Dyce .
The authorized official title is Owner and has the following contact phone number 18435682363.

The enumeration date for this NPI number is 3/9/2015 and was last updated on 4/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0602XOtolaryngologyOtolaryngic Allergy27632SOUTH CAROLINANo
2207YS0012XOtolaryngologySleep Medicine27632SOUTH CAROLINANo
3207Y00000XOtolaryngology27632SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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