Organization
OAKTREE MEDICAL CENTRE, PC
Active
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
115 BRUSHY CREEK RD, EASLEY, SC 29642-1120
(864) 855-1633
(864) 855-1323
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 855-1633
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2763
—
SC
Enumeration date
12/27/2005
Last updated
12/29/2009
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