Organization
MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC
Active
Parent organization
MCLEOD HEALTH
Other names
Medical Plaza Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
SAMUEL FULTON ERVIN III (SR. VP & CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
800 E CHEVES ST STE 310, FLORENCE, SC 29506-2652
(843) 679-7272
(843) 679-7215
Mailing address
PO BOX 601743, CHARLOTTE, NC 28260-1743
(843) 679-7272
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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