Mcleod Physician Associates II
NPI #1912001645 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1912001645
- 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
- Aug 8, 2019
Practice Location
- Address
- 355 SOUTH GEORGETOWN HIGHWAY
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555
- Phone
- (843) 380-2000
Authorized Official
- Name
- SAMUEL FULTON ERVIN III
- Title
- SR VICE PRESIDENT AND CFO
- Phone
- (843) 777-2910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
| Nurse Practitioner - Family — Family |
| Family Medicine |
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