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ANTONIA MACK LPN
NPI 1124694088
Licensed Practical Nurse in Hollywood, SC

Active since June 01, 2021
6720 HOLLYTREE DR, HOLLYWOOD, SC 29449(843) 860-2615 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonia Mack Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIA MACK LPN (NPI 1124694088) is an individual licensed practical nurse in Hollywood, South Carolina, licensed in South Carolina (52017) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1124694088
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANTONIA MACKCredential: LPN
Location Address6720 HOLLYTREE DRHollywood, SC 29449-6919
Mailing Address6720 Hollytree DrHollywood, SC 29449-6919 · (843) 860-2615
Phone(843) 860-2615
Sole ProprietorYes
Enumeration DateJune 1, 2021
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1124694088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in SC · 52017
Definition
A licensed practical nurse 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.
6720 HOLLYTREE DR, Hollywood, SC 29449
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonia Mack's NPI number?

The NPI number for Antonia Mack is 1124694088. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Antonia Mack located?

Antonia Mack practices at 6720 Hollytree Dr, Hollywood, SC 29449. The listed phone number is (843) 860-2615.

What is Antonia Mack's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Antonia Mack was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.