# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLeod Primary Care Clarendon
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1083067714
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** DANE P. FICCO (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (843) 777-7010

## Contact information

- **Practice address:** 22 BOZARD ST, MANNING, SC 29102-2935
- **Practice address phone:** (803) 435-8828
- **Practice address fax:** (803) 435-2239
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239
- **Mailing address phone:** (843) 777-7487
- **Mailing address fax:** (843) 777-7102

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2016
- **Last updated:** 07/18/2016