Organization
MCLEOD HEALTH CHERAW
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Primary Care and Pediatrics Bennettsville
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
MR. SAMUEL FULTON ERVIN III (SR VICE PRESIDENT AND CFO)
(843) 777-2910
Entity
Organization
Contact information
Practice address
1076 MARLBORO WAY STE 3, BENNETTSVILLE, SC 29512-2495
(843) 479-0432
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
09/28/2020
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