Antonia Mack, LPN
NPI #1124694088 in Hollywood, South Carolina
Provider Information
- NPI Number
- 1124694088
- Entity Type
- Individual
- Name
- Antonia Mack, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 1, 2021
- Last Updated
- Jun 2, 2021
Practice Location
- Address
- 6720 HOLLYTREE DR
- City
- Hollywood
- State
- South Carolina
- ZIP Code
- 29449-6919
- Phone
- (843) 860-2615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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