Mcleod Physician Associates II
NPI #1275689002 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1275689002
- Entity Type
- Organization
- Organization Name
- Mcleod Physician Associates II
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MCLEOD HEALTH
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Aug 8, 2019
Practice Location
- Address
- 512 NELSON BLVD STE 200
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-4027
- Phone
- (843) 355-5459
Authorized Official
- Name
- SAMUEL FULTON ERVIN III
- Title
- SR VICE PRESIDENT AND CFO
- Phone
- (843) 777-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant - Medical — Medical |
| Clinic/Center - Rural Health — Rural Health |
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