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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DONNA ISGETT (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
800 E CHEVES ST, STE 200, FLORENCE, SC 29506-2651
(843) 662-1502
(843) 678-3611
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 662-1502
(843) 679-3611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
207R00000X
Internal Medicine Physician
—
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
SC
363L00000X
Nurse Practitioner
—
SC
363LA2200X
Adult Health Nurse Practitioner
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1869
—
SC
Enumeration date
02/13/2006
Last updated
10/09/2018
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