Mcleod Physician Associates II
NPI #1285904664 in Loris, South Carolina
Provider Information
- NPI Number
- 1285904664
- 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
- Jan 3, 2012
- Last Updated
- Sep 21, 2012
Practice Location
- Address
- 3109 CASEY ST
- Address 2
- SUITE B
- City
- Loris
- State
- South Carolina
- ZIP Code
- 29569-2807
- Phone
- (843) 756-8090
Authorized Official
- Name
- DANE P. FICCO
- Title
- SR. VP
- Phone
- (843) 777-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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