# MCLEOD REGIONAL MEDICAL CENTER OF PEE DEE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLEOD PULMONARY & CRITICAL CARE SEACOAST
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275387144
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** SAMUEL FULTON ERVIN III (SR. VP/CFO)
- **Authorized official phone:** (843) 777-2910

## Contact information

- **Practice address:** 4000 HIGHWAY 9 E FL 2, LITTLE RIVER, SC 29566-7833
- **Practice address phone:** (843) 390-8302
- **Practice address fax:** (843) 390-8315
- **Mailing address:** PO BOX 601743, CHARLOTTE, NC 28260-1743
- **Mailing address phone:** (843) 390-8302
- **Mailing address fax:** (843) 777-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 06/22/2026
