Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
MPA IC Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE P. FICCO (SENIOR VICE PRESIDENT)
(843) 777-7000
Entity
Organization
Contact information
Practice address
506 E CHEVES ST, SUITE 202, FLORENCE, SC 29506-2616
(843) 777-7000
(843) 777-7006
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7098
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
SC
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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