# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLeod Pediatrics Bennettsville
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861871220
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** DANE P. FICCO (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (843) 777-7010

## Contact information

- **Practice address:** 1076 MARLBORO WAY, SUITE 3, BENNETTSVILLE, SC 29512-2495
- **Practice address phone:** (843) 479-0483
- **Practice address fax:** (843) 479-3036
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239
- **Mailing address phone:** (843) 777-7162
- **Mailing address fax:** (843) 777-7102

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015