Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Pee Dee Cardiology Associates Loris
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE FICCO (SR VP)
(843) 777-7000
Entity
Organization
Contact information
Practice address
3485 MITCHELL ST, LORIS, SC 29569-2823
(843) 756-7029
(843) 756-7033
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7000
(843) 777-7006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
33449
SC
Other
Enumeration date
04/07/2011
Last updated
09/27/2012
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