Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Med Share Carolina Forest
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
907 STARTEK DR, MYRTLE BEACH, SC 29579-4471
(843) 777-7010
(843) 777-7006
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7122
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
SC
208600000X
Surgery Physician
Primary
—
SC
2086S0129X
Vascular Surgery Physician
—
SC
363A00000X
Physician Assistant
—
SC
363L00000X
Nurse Practitioner
—
SC
Other
Enumeration date
07/12/2017
Last updated
06/07/2022
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