# OAKTREE MEDICAL CENTRE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154308617
- **Authorized official:** DR. DANIEL A. MCCOLLUM D.C. (PRESIDENT)
- **Authorized official phone:** (864) 855-1633

## Contact information

- **Practice address:** 115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
- **Practice address phone:** (864) 855-1633
- **Practice address fax:** (864) 855-1323
- **Mailing address:** PO BOX 484, EASLEY, SC 29641-0484
- **Mailing address phone:** (864) 855-1633
- **Mailing address fax:** (864) 855-1323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 12/29/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2763 | — | SC |