Mcleod Physician Associates II

NPI #1861871220 in Bennettsville, South Carolina

Provider Information

NPI Number: 1861871220
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: May 19, 2015
Last Updated: May 19, 2015

Practice Location

Address: 1076 MARLBORO WAY
Address 2: SUITE 3
City: Bennettsville
State: South Carolina
ZIP Code: 29512-2495
Phone: (843) 479-0483

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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