Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antonia Mack, LPN

Individual provider Licensed Practical Nurse · NPI 1124694088

Antonia Mack, LPN is a Licensed Practical Nurse in Hollywood, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

6720 Hollytree Dr
Hollywood, SC 29449-6919
Phone: (843) 860-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 52017 (SC)

Record details

NPI number1124694088
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address6720 Hollytree Dr, Hollywood, SC 29449-6919

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