Mcleod Physician Associates II

NPI #1083067714 in Manning, South Carolina

Provider Information

NPI Number: 1083067714
Entity Type: Organization
Organization Name: Mcleod Physician Associates II
Subpart: Yes (part of a larger organization)
Parent Organization: MCLEOD HEALTH
Primary Specialty: Internal Medicine
Enumeration Date: Jul 18, 2016
Last Updated: Jul 18, 2016

Practice Location

Address: 22 BOZARD ST
City: Manning
State: South Carolina
ZIP Code: 29102-2935
Phone: (803) 435-8828

Authorized Official

Name: DANE P. FICCO
Title: SENIOR VICE PRESIDENT
Phone: (843) 777-7010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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