MEDICARE: JOHN C WALTHALL C.R.N.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	67298	SC

General Provider Information

NPI Number	:	1154321743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C WALTHALL C.R.N.A.

Provider Business Mailing Address
First Line	:	148 WELCHMAN AVE
Second Line	:
City	:	GOOSE CREEK
State	:	SC
Zip	:	29445-7152
Country	:	US
Telephone Number	:	843-327-6616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 TAYLOR ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29201-3452
Country	:	US
Telephone Number	:	803-254-8449
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	10/14/2010

Similar Medicare Providers

1245288281 — AHP ASSOCIATES OF SOUTH CAROLINA LLC
Practice Location Address:

1735 TAYLOR ST
COLUMBIA, SC
29201-3452

Practice Phone: 803-254-8449
Practice Fax:

1497703938 — MRS. DAWN M. CLARK CRNA
Practice Location Address:

1735 TAYLOR ST
COLUMBIA, SC
29201-3452

Practice Phone: 803-254-8449
Practice Fax:

1295988053 — PRIMARY CARE ENDOSCOPY OF COLUMBIA, LLC
Practice Location Address:

1735 TAYLOR ST
COLUMBIA, SC
29201-3452

Practice Phone: 803-254-8449
Practice Fax: 803-254-8984

1144557232 — ANESTHESIA WORKS LLC
Practice Location Address:

1735 TAYLOR ST
COLUMBIA, SC
29201-3452

Practice Phone: 803-254-3452
Practice Fax:

1285974253 — DR. NICHOLAS ALFRED NATALE ED.D.
Practice Location Address:

1911 GADSDEN ST
COLUMBIA, SC
29201-6400

Practice Phone: 803-254-9767
Practice Fax:

1801586581 — OTTO BOCK PATIENT CARE, LLC
Practice Location Address:

1455 HARDEN STREET EXT
COLUMBIA, SC
29201-1755

Practice Phone: 803-799-5063
Practice Fax:

Directions to “ JOHN C WALTHALL C.R.N.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.