Organization
OAKTREE MEDICAL CENTRE, PC
Active
Other names
Carolina Neurology 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
138 MILESTONE WAY, SUITE A, GREENVILLE, SC 29615-6617
(864) 288-9936
(864) 288-9937
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 855-1633
(864) 855-1323
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2763
—
SC
Enumeration date
02/08/2007
Last updated
10/30/2007
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