Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care Bennettsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
DANE P. FICCO (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
1040 MARLBORO WAY, SUITE 1, BENNETTSVILLE, SC 29512-2494
(843) 479-5890
(843) 479-3524
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
SC
363LF0000X
Family Nurse Practitioner
—
SC
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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