Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Clarendon Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE FICCO (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
10 E HOSPITAL ST, SUITE 100, MANNING, SC 29102-3153
(803) 435-5212
(803) 435-3030
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
SC
261QP2300X
Primary Care Clinic/Center
Primary
—
SC
363LF0000X
Family Nurse Practitioner
—
SC
Other
Enumeration date
08/18/2016
Last updated
08/20/2016
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