Mcleod Physician Associates II

NPI #1912236225 in Dillon, South Carolina

Provider Information

NPI Number: 1912236225
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: Dec 15, 2009
Last Updated: Dec 17, 2009

Practice Location

Address: 207 E MONROE ST
City: Dillon
State: South Carolina
ZIP Code: 29536-2557
Phone: (843) 774-6091

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Pediatrics	208000000X	Primary

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Organizations

Provider Name	Specialty	City
Mcleod Physician Associates II Part of Mcleod Health	Pediatrics	Dillon	AI Deep Dive

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