Organization
MCLEOD LORIS SEACOAST HOSPITAL
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Loris/Seacoast Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR VP AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Mailing address
PO BOX 100567, FLORENCE, SC 29502-0567
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B311
—
SC
Enumeration date
03/26/2012
Last updated
02/25/2019
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