Colliton, Mary K

Colliton, Mary K is an individual health care provider with primary practice located at 316 Calhoun St , Charleston SC 29401-1113. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Colliton, Mary K can be contacted via phone (843) 402-1638.

Contact Information

Primary practice address
316 Calhoun St Charleston SC 29401-1113
Phone: (843) 402-1638
Fax: (843) 724-2455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1141 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 1141 South Carolina

Profile Details

NPI number 1326156365
LBN Legal business name Colliton, Mary K
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Nov 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326156365 NPPES
South Carolina MEDICAID NP0469

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