Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Dialysis Access
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
3112 CASEY ST, LORIS, SC 29569-2808
(843) 716-8940
(843) 716-9760
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/10/2012
Last updated
10/10/2023
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