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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Pediatric Associates of Florence
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
204 E CHEVES ST, FLORENCE, SC 29506-2604
(843) 777-5065
(843) 662-2474
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-5065
(843) 662-2474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1655
—
SC
Enumeration date
02/06/2006
Last updated
06/03/2022
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