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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Cardiothoracic Surgical 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 ST STE 370, FLORENCE, SC 29506-2769
(437) 777-0208
(843) 664-9545
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 664-0221
(843) 664-9545
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3603
—
SC
Enumeration date
02/09/2006
Last updated
06/03/2022
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