Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Oral & Maxillofacial Surgery
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
101 WILLIAM H JOHNSON ST STE 440, FLORENCE, SC 29506-2769
(843) 777-7010
(843) 777-7005
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7122
(843) 777-7105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/07/2022
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