COLLETON AMBULATORY CARE, LLC
Ambulatory Health at Medical Park Dr, Walterboro, SC

License number
South Carolina ASF-035
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. DERON SMITH III
Title: ADMINISTRATOR
Phone: (843) 782-2610
Address
Address
304 Medical Park Dr, Walterboro, SC 29488
National Provider ID: 1114957891
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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