Mcleod Physician Associates II

NPI #1114217460 in Loris, South Carolina

Provider Information

NPI Number
1114217460
Entity Type
Organization
Organization Name
Mcleod Physician Associates II
Subpart
Yes (part of a larger organization)
Parent Organization
MCLEOD HEALTH
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Apr 7, 2011
Last Updated
Sep 27, 2012

Practice Location

Address
3485 MITCHELL ST
City
Loris
ZIP Code
29569-2823
Phone
(843) 756-7029

Authorized Official

Name
DANE FICCO
Title
SR VP
Phone
(843) 777-7000

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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