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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Southern Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
3418 CASEY ST, LORIS, SC 29569-2904
(843) 756-7885
(843) 756-7855
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7122
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
207R00000X
Internal Medicine Physician
—
SC
363LA2200X
Adult Health Nurse Practitioner
—
SC
363LF0000X
Family Nurse Practitioner
—
SC
Other
Enumeration date
11/17/2011
Last updated
06/07/2022
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