Mcleod Physician Associates II

NPI #1306296991 in Manning, South Carolina

Provider Information

NPI Number: 1306296991
Entity Type: Organization
Organization Name: Mcleod Physician Associates II
Subpart: Yes (part of a larger organization)
Parent Organization: MCLEOD HEALTH
Primary Specialty: Pediatrics
Enumeration Date: Jun 15, 2016
Last Updated: Jun 15, 2016

Practice Location

Address: 50 E HOSPITAL ST
Address 2: SUITE 4B
City: Manning
State: South Carolina
ZIP Code: 29102-3149
Phone: (803) 433-8420

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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