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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
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Organization

MCLEOD PHYSICIAN ASSOCIATES II

Active
Parent organization
MCLEOD HEALTH
Other names
Barrett Internal Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE P. FICCO (SR. VP)
(843) 777-7000
Entity
Organization

Contact information

Practice address
3109 CASEY ST, SUITE B, LORIS, SC 29569-2807
(843) 756-8090
(843) 756-6122
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7042
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
01/03/2012
Last updated
09/21/2012
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