Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH, INC.
Other names
McLeod Loris Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH, INC.
Authorized official
KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
3109 CASEY ST, LORIS, SC 29569-2807
(843) 756-9292
(843) 756-9260
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7010
(843) 777-7006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/04/2011
Last updated
06/07/2022
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