Mcleod Physician Associates II

NPI #1568434249 in Dillon, South Carolina

Provider Information

NPI Number
1568434249
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
Feb 6, 2006
Last Updated
Mar 27, 2009

Practice Location

Address
207 E MONROE ST
City
Dillon
ZIP Code
29536-2557
Phone
(843) 774-3736

Authorized Official

Name
PAUL PROVENZANO
Title
REGIONAL PRACTICE MANAGER/AVP
Phone
(843) 777-7030

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health
Nurse Practitioner - FamilyFamily
Family Medicine

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