Mcleod Physician Associates II
NPI #1528162112 in Timmonsville, South Carolina
Provider Information
- NPI Number
- 1528162112
- Entity Type
- Organization
- Organization Name
- Mcleod Physician Associates II
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MCLEOD HEALTH
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 12, 2006
- Last Updated
- Mar 27, 2009
Practice Location
- Address
- 755 E SMITH ST
- City
- Timmonsville
- State
- South Carolina
- ZIP Code
- 29161-9430
- Phone
- (843) 346-3900
Authorized Official
- Name
- PAUL PROVENZANO
- Title
- REGIONAL PRACTICE MANAGER/AVP
- Phone
- (843) 777-7030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Clinic/Center - Rural Health — Rural Health |
| Family Medicine |
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