Mcleod Health Clarendon
NPI #1326693953 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1326693953
- Entity Type
- Organization
- Organization Name
- Mcleod Health Clarendon
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 9, 2019
- Last Updated
- Aug 9, 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 |
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