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Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Maternal-Fetal Medicine
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
101 WILLIAM H JOHNSON ST STE 270, FLORENCE, SC 29506-2763
(843) 777-7753
(843) 777-7754
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7753
(843) 777-7754
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3970
—
SC
Enumeration date
02/09/2006
Last updated
06/03/2022
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