Organization
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Chronic Care Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
CHRISTIAN SOURA (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
101 WILLIAM H JOHNSON ST STE 210, FLORENCE, SC 29506-2763
(843) 777-6000
(843) 777-5035
Mailing address
PO BOX 601743, CHARLOTTE, NC 28260-1743
(843) 777-4428
(843) 777-5035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
364SC2300X
Chronic Care Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DPE035
—
SC
05
—
GP2470
—
SC
Enumeration date
05/26/2006
Last updated
04/03/2026
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