Organization
OAKTREE MEDICAL CENTRE, PC
Active
Other names
Pain Management Associates Anderson
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A MCCOLLUM DC (CEO)
(864) 343-2611
Entity
Organization
Contact information
Practice address
108 MONTGOMERY DRIVE, ANDERSON, SC 29621-3334
(864) 225-5597
(864) 225-5835
Mailing address
P.O. BOX 484, EASLEY, SC 29641-4848
(864) 855-1633
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2763
—
SC
Enumeration date
01/21/2010
Last updated
01/21/2010
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