Organization
PAIN MANAGEMENT ASSOCCIATES
Active
Parent organization
OAKTREE MEDICAL CENTRE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKTREE MEDICAL CENTRE
Authorized official
DR. DANIEL A MCCOLLUM D.C. (PRESIDENT)
(864) 855-1633
Entity
Organization
Contact information
Practice address
138 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 573-2146
(864) 573-2644
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 343-2631
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2763
—
SC
Enumeration date
06/30/2012
Last updated
06/30/2012
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