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BERNADETTE PAYNE MACLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
2015 2ND AVE STE 103, SUMMERVILLE, SC 29486-7889
(843) 876-1344
Mailing address
2015 2ND AVE STE 103, SUMMERVILLE, SC 29486-7889
(843) 876-1344

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29980
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026522001
UNIVERA HEALTHCARE
NY
01
0005602761
BLUE CROSS BLUE SHIELD
NY
01
9512020
INDEPENDENT HEALTH
NY
Enumeration date
05/11/2006
Last updated
11/16/2025
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