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Angel Mccollum
School Registered Nurse in Irmo, South Carolina
NPI 1730581976

Angel Mccollum is a School Registered Nurse based in Irmo, SC and is specialized in School. Angel Mccollum practices in Irmo, SC. The NPI Number for Angel Mccollum is 1730581976 and holds a License No. 71565 (South Carolina).

The current practice location address for Angel Mccollum is 1020 Dutch Fork Rd, Irmo, SC and can be reached out via phone at 803-476-8000.

Location: 1020 Dutch Fork Rd, Irmo, SC, 29063-8822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730581976
Provider Name
Angel Mccollum
Credential
Provider Entity Type
Individual
Gender
Female
Address
1020 Dutch Fork Rd, Irmo, SC, 29063-8822
Phone Number
803-476-8000
Fax Number
Provider Enumeration Date
09/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
71565 05 SC
institution
Provider Business Practice Location Address Details
Address
1020 Dutch Fork Rd
City
Irmo
State
South Carolina
Zip
29063-8822
Phone Number
803-476-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1020 Dutch Fork Rd
City
Irmo
State
South Carolina
Zip
29063-8822
Phone Number
803-476-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
71565 (South Carolina)
Definition
Definition to come...
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