Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH, INC.
Other names
Family Health Center - Mt. Olive
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH, INC.
Authorized official
MR. DANE P FICCO (SENIOR VICE PRESIDENT)
(843) 777-7012
Entity
Organization
Contact information
Practice address
5260 HIGHWAY 9, GREEN SEA, SC 29545-4930
(843) 392-9222
(843) 392-1445
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7010
(843) 777-7006
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2011
Last updated
12/06/2011
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