Organization
MCLEOD PHYSICIAN ASSOCIATES II
Active
Parent organization
MCLEOD HEALTH
Other names
McLeod Orthopaedic Dillon
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCLEOD HEALTH
Authorized official
KENNETH D. BEASLEY (SENIOR VICE PRESIDENT)
(843) 777-7010
Entity
Organization
Contact information
Practice address
705 N 8TH AVE, SUITE 1B, DILLON, SC 29536-2549
(843) 487-1588
(843) 487-1597
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 841-3517
(843) 841-3519
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DO 457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1968
—
SC
Enumeration date
05/07/2008
Last updated
06/03/2022
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