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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Orthopaedic Dillon
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
705 N 8TH AVE, SUITE 1B, DILLON, SC 29536-2549
(843) 487-1588
(843) 487-1597
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 841-3517
(843) 841-3519

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO 457
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1968
—
SC
Enumeration date
05/07/2008
Last updated
06/03/2022
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