Organization
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC.
Active
Other names
McLeod Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL FULTON ERVIN III (SR. VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
144 N RAVENEL ST, FLORENCE, SC 29506-2641
(843) 777-2800
Mailing address
PO BOX 100567, FLORENCE, SC 29501-0567
(843) 777-5802
(843) 777-5035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
122300000X
Dentist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2493
—
SC
Enumeration date
05/26/2006
Last updated
07/22/2025
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