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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod OB/GYN 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
101 WILLIAM H. JOHNSON STREET, SUITE 500, FLORENCE, SC 29506-2772
(843) 777-7400
(843) 777-7440
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7400
(843) 777-7440
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
BLUE CROSS BLUE SHIELD
SC
05
—
GP1656
—
SC
Enumeration date
02/07/2006
Last updated
06/03/2022
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