# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** Barrett Internal Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285904664
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** DANE P. FICCO (SR. VP)
- **Authorized official phone:** (843) 777-7000

## Contact information

- **Practice address:** 3109 CASEY ST, SUITE B, LORIS, SC 29569-2807
- **Practice address phone:** (843) 756-8090
- **Practice address fax:** (843) 756-6122
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239
- **Mailing address phone:** (843) 777-7042
- **Mailing address fax:** (843) 777-7102

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 09/21/2012