person
Antonia Mack, LPN
Licensed Practical Nurse in Hollywood, South Carolina
NPI 1124694088

Antonia Mack is a Licensed Practical Nurse based in Hollywood, SC. Antonia Mack practices in Hollywood, SC and has the professional credentials of LPN. The NPI Number for Antonia Mack is 1124694088 and holds a License No. 52017 (South Carolina).

The current practice location address for Antonia Mack is 6720 Hollytree Dr, Hollywood, SC and can be reached out via phone at 843-860-2615.

Location: 6720 Hollytree Dr, Hollywood, SC, 29449-6919
person
Provider Profile Details
NPI Number
1124694088
Provider Name
Antonia Mack
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
6720 Hollytree Dr, Hollywood, SC, 29449-6919
Phone Number
843-860-2615
Fax Number
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6720 Hollytree Dr
City
State
Zip
29449-6919
Phone Number
843-860-2615
Fax Number
person
Provider Business Mailing Address Details
Address
6720 Hollytree Dr
City
State
Zip
29449-6919
Phone Number
843-860-2615
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
52017 (South Carolina)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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