# MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MCLEOD INTERNAL MEDICINE RESIDENCY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073314852
- **Authorized official:** SAMUEL FULTON ERVIN III (SR VP AND CFO)
- **Authorized official phone:** (843) 777-2010

## Contact information

- **Practice address:** 101 WILLIAM H JOHNSON ST STE 200-B, FLORENCE, SC 29506-2763
- **Practice address phone:** (843) 777-5735
- **Practice address fax:** (843) 777-2804
- **Mailing address:** 101 WILLIAM H JOHNSON ST STE 200-B, FLORENCE, SC 29506-2763
- **Mailing address phone:** (843) 777-5735
- **Mailing address fax:** (843) 777-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 03/19/2025