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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANTONIA MACK, LPN

Active Sole Proprietor

ANTONIA MACK, LPN is a Licensed Practical Nurse healthcare provider located in HOLLYWOOD, South Carolina. NPI 1124694088 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · HOLLYWOOD, SC

Registration Details

NPI Number
1124694088
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2021 (5.0601881947781 yrs)
Last Updated
Jun 2, 2021
License
52017 (SC)
Sole Proprietor
Yes

Practice Information

Address
6720 HOLLYTREE DR
HOLLYWOOD, SC, 294496919
Browse SC providers · Browse ZIP 29449
Phone
8438602615
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in HOLLYWOOD, SC

Name Credential NPI
MICHELLE TOWNSEND LPN 1194532200
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.