Individual
PATRICK SEAN MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10630 CLEMSON BLVD, SUITE 100, SENECA, SC 29678-4546
(864) 482-6000
(864) 482-7000
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
17876
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178765
—
SC
01
—
20002582
RR MEDICARE
SC
Enumeration date
03/21/2006
Last updated
07/08/2021
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