# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLeod Oral & Maxillofacial Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134780364
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (843) 777-7010

## Contact information

- **Practice address:** 101 WILLIAM H JOHNSON ST STE 440, FLORENCE, SC 29506-2769
- **Practice address phone:** (843) 777-7010
- **Practice address fax:** (843) 777-7005
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239
- **Mailing address phone:** (843) 777-7122
- **Mailing address fax:** (843) 777-7105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2019
- **Last updated:** 06/07/2022