Mccollum, Angel

Mccollum, Angel is an individual health care provider with primary practice located at 1020 Dutch Fork Rd , Irmo SC 29063-8822. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mccollum, Angel can be contacted via phone (803) 476-8000.

Contact Information

Primary practice address
1020 Dutch Fork Rd Irmo SC 29063-8822
Phone: (803) 476-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 71565 South Carolina

Profile Details

NPI number 1730581976
LBN Legal business name Mccollum, Angel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730581976 NPPES
South Carolina MEDICAID 71565

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