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Organization

MCLEOD FAMILY MEDICINE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANET G TEAL (OFFICE MANAGER)
(843) 537-9932
Entity
Organization

Contact information

Practice address
110 DOCTORS DR, STE B2, CHERAW, SC 29520-7112
(843) 537-9932
(843) 537-9936
Mailing address
110 DOCTORS DR, STE B2, CHERAW, SC 29520-7112
(843) 537-9932
(843) 537-9936

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15756
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157564
SC
Enumeration date
10/27/2009
Last updated
10/27/2009
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