Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
Pee Dee Regional Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
BRAD COLE (VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
101 WILLIAM H. JOHNSON STREET, STE 350, FLORENCE, SC 29506-2775
(843) 777-6065
(843) 777-6069
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-6065
(843) 777-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
BLUE CHOICE
SC
05
—
GP1642
—
SC
Enumeration date
02/07/2006
Last updated
01/07/2019
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