Mack, Antonia

Mack, Antonia is an sole proprietor health care provider with primary practice located at 6720 Hollytree Dr , Hollywood SC 29449-6919. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mack, Antonia can be contacted via phone (843) 860-2615.

Contact Information

Primary practice address
6720 Hollytree Dr Hollywood SC 29449-6919
Phone: (843) 860-2615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 52017 South Carolina

Profile Details

NPI number 1124694088
LBN Legal business name Mack, Antonia
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2021
Last updated Jun 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers