Mcleod Physician Associates II

NPI #1770839342 in Little River, South Carolina

Provider Information

NPI Number: 1770839342
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: Aug 1, 2012
Last Updated: Aug 27, 2012

Practice Location

Address: 3980 HIGHWAY 9 E
Address 2: SUITE 100B
City: Little River
State: South Carolina
ZIP Code: 29566-8163
Phone: (843) 390-5217

Authorized Official

Name: DANE P FICCO
Title: SR. VP
Phone: (843) 777-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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