NPI 1245623792 · live from the CMS NPI Registry
Black Creek Medical Consultants, LLC
Otolaryngology, Sleep Medicine in Hartsville, SC. National Provider Identifier 1245623792, active.
NPI record
| NPI | 1245623792 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Otolaryngology, Sleep Medicine 207YS0012X |
| Practice location | 149 E Carolina Ave, Hartsville, SC 29550 |
| Practice phone | 843-383-5312 |
| Enumerated | March 9, 2015 |
| Last updated | March 31, 2026 |
| Authorized official | Orville Dyce, Surgeon |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology, Otolaryngic Allergy | 207YX0602X | — |
| Otolaryngology | 207Y00000X | — |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | — |
| Otolaryngology, Sleep Medicine primary | 207YS0012X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.