# MCLEOD PHYSICIAN ASSOCIATES II

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCLEOD HEALTH
- **Other names:** McLeod Pediatrics Dillon: Dr. Lewis
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912236225
- **Legal business name:** MCLEOD HEALTH
- **Authorized official:** DANE FICCO (SR VP)
- **Authorized official phone:** (843) 777-7000

## Contact information

- **Practice address:** 207 E MONROE ST, DILLON, SC 29536-2557
- **Practice address phone:** (843) 774-6091
- **Practice address fax:** (843) 841-3814
- **Mailing address:** PO BOX 3239, FLORENCE, SC 29502-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 30392 | SC | Yes |
| 363LF0000X | Family Nurse Practitioner | 3943 | SC | — |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 12/17/2009