COLLETON NEUROLOGY ASSOCIATES LLC NPI 1922047943

NPI Information

  • NPI: 1922047943
  • Provider Name: COLLETON NEUROLOGY ASSOCIATES LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 302 MEDICAL PARK DR
    STE 210
    WALTERBORO, SC
    ZIP 29488
  • Phone: (843) 549-0795

Map and Directions

Get Directions

NPI Details

COLLETON NEUROLOGY ASSOCIATES LLC is a neurology psychiatry neurology in Walterboro, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. COLLETON NEUROLOGY ASSOCIATES LLC NPI is 1922047943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

302 MEDICAL PARK DR
STE 210
WALTERBORO, SC
ZIP 29488-747
Phone: (843) 549-0795
Fax: (843) 542-2920

The provider's authorized official is Mark Pickett .
The authorized official title is Vp and has the following contact phone number (843) 549-0795.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 1/24/2008.

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
12084N0400XPsychiatry & NeurologyNeurologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DE8510MEDICARE PIN
28408MEDICARE PINSOUTH CAROLINA

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI