Organization
OAKTREE MEDICAL CENTRE, PC
Active
Organization
OAKTREE MEDICAL CENTRE, PC
Active
Other names
Pain Management Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A. MCCOLLUM D.C. (PRESIDENT)
(864) 855-1633
Entity
Organization
Contact information
Practice address
200 PATEWOOD DR, SUITE A 350, GREENVILLE, SC 29615-3593
(864) 242-6447
(864) 242-6517
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 855-1633
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2763
—
SC
Enumeration date
12/27/2005
Last updated
10/30/2007
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