Individual
DR. DANIEL A MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 855-1655
(864) 855-1323
Mailing address
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 855-1655
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC1792
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053398503
NPI
SC
01
—
1792
STATE LICENSE
SC
05
—
CH1792
—
SC
Enumeration date
12/27/2005
Last updated
10/04/2011
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