Organization
PAIN MANAGEMENT ASSOCIATES
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
115 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-5750
(864) 725-5764
Mailing address
PO BOX 484, EASLEY, SC 29641-0484
(864) 855-1633
(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
07/11/2012
Last updated
07/11/2012
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