# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** Pediatric Associates of Florence
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619949435
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (843) 777-7010

## Contact information

- **Practice address:** 204 E CHEVES ST, FLORENCE, SC 29506-2604
- **Practice address phone:** (843) 777-5065
- **Practice address fax:** (843) 662-2474
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239
- **Mailing address phone:** (843) 777-5065
- **Mailing address fax:** (843) 662-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 06/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP1655 | — | SC |