Mcleod Loris Seacoast Hospital

NPI #1265708119 in Loris, South Carolina

Provider Information

NPI Number
1265708119
Entity Type
Organization
Organization Name
Mcleod Loris Seacoast Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
MCLEOD HEALTH
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 26, 2012
Last Updated
Feb 25, 2019

Practice Location

Address
3655 MITCHELL ST
City
Loris
ZIP Code
29569-2827
Phone
(843) 716-7000

Authorized Official

Name
SAMUEL FULTON ERVIN III
Title
SR VP AND CFO
Phone
(843) 777-2910

Specialties & Taxonomy Codes

Specialty
Emergency Medicine - Emergency Medical ServicesEmergency Medical Services
Nurse Anesthetist, Certified Registered

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